Veterans Health Administration, Department of Veterans Affairs.
In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health Administration, Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden and it includes the actual data collection instrument.
Comments must be submitted on or before August 22, 2018.
Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW, Washington, DC 20503 or sent through electronic mail to email@example.com. Please refer to “OMB Control No. 2900-0793” in any correspondence.
Start Further Info
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor, Office of Quality, Privacy and Risk (OQPR), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 461-5870 or email firstname.lastname@example.org. Please refer to “OMB Control No. 2900-0793” in any correspondence.
End Further Info
Start Supplemental Information
1. Academic Verification, VA Form 10-0491
2. Addendum to Application, VA Form 10-0491a
3. Annual VA Employment Deferment Verification, VA Form 10-0491c
4. Education Program Completion Notice Service Obligation Placement, VA Form 10-0491d
5. Evaluation Recommendation Form, VA Form 10-0491e
6. HPSP Agreement, VA Form 10-0491f
7. HPSP/OMPSP Application, VA Form 10-0491g
8. Notice of Approaching Graduation, VA Form 10-0491h
9. Notice of Change and/or Annual Academic Status Report, VA Form 10-0491i
10. Request for Deferment for Advanced Education, VA Form 10-0491j
11. VA Scholarship Offer Response, VA Form 10-0491k
12. VIOMPSP Agreement, VA Form 10-0491l
13. Mobility Agreement, VA Form 10-0491m
OMB Control Number: 2900-0793.
Type of Review: Revision of a currently approved collection.
Abstract: The information required determines the eligibility or suitability of an applicant desiring to receive an award under the provisions of 38 U.S.C. 7601 through 7619, and 38 U.S.C. 7501 through 7505. The information is needed to apply for the VA Health Professional Scholarship Program or Visual Impairment and Orientation and Mobility Professional Scholarship Program. The VA Health Professional Scholarship Program awards scholarships to students receiving education or training in a direct or indirect healthcare services discipline to assist in providing an adequate supply of such personnel for VA and for the United States. The Visual Impairment and Orientation and Mobility Professional Scholarship Program awards scholarships to students pursuing a program of study leading to a degree in visual impairment or orientation and mobility in order to increase the supply of qualified blind rehabilitation specialists for VA and the Nation.
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The Federal Register Notice with a 60-day comment period soliciting comments on this collection of information was published at 83 FR 16925 on April 17, 2018, pages 16925 through 16927.
Affected Public: Individuals or Households.
Estimate of the Hour Burden for the Collection of Information
|VA Forms:||Number of respondents||× Number of responses||Equals||× Number of minutes||Equals (minutes)||÷ by 60 =||Number of hours|
|10-0491e—Evaluation & Recommendation||1,500||2||3,000||50||150,000||2,500|
|10-0491a—Addendum to Application||450 (30%)||1||450||10||4,500||75|
|Start Printed Page 34926|
|Applicants Selected To Receive a Scholarship|
|10-0491l—Agreement for the VIOMPSP||30||1||30||15||450||8|
|10-0491k—VA Scholarship Offer Response||30||1||30||10||300||5|
|10-0491i—Notice of Change and/or Annual Academic Status Report||30||1||30||20||600||10|
|10-0491h—Notice of Approaching Graduation||30||1||30||10||300||5|
|10-0491d—Education Program Completion Notice/Service Obligation Placement||30||1||30||20||600||10|
|10-0491j—Request for Deferment for Advanced Education||6||1||6||10||60||1|
|10-0491c—Annual VA Employment/Deferment Verification||30||1||24||10||240||4|
|Grand Total for VIOMPSP||5,623|
|Health Professional Scholarship Program (HPSP): Applicants|
|10-0491e—Evaluation & Recommendation||5,000||2||10,000||50||500,000||8,333|
|10-0491a—Addendum to Application||1,500 (30%)||1||1,500||10||15,000||250|
|Applicants Selected To Receive a Scholarship|
|10-0491f—Agreement for the HPSP||100||1||100||15||1,500||25|
|10-0491k—VA Scholarship Offer Response||100||1||100||10||1,000||17|
|10-0491i—Notice of Change and/or Annual Academic Status Report||100||1||100||20||2,000||33|
|10-0491h—Notice of Approaching Graduation||100||1||100||10||1,000||17|
|10-0491d—Education Program Completion Notice/Service Obligation Placement||100||1||100||20||2,000||33|
|10-0491j—Request for Deferment for Advanced Education||20||1||20||10||200||3|
|10-0491c—Annual VA Employment/Deferment Verification||80||1||80||10||800||13|
|Grand Total for HPSP||18,741|
|Grand total for both VIOMPSP and HPSP||24,364|
End Supplemental Information
By direction of the Secretary.
Cynthia D. Harvey-Pryor,
Department Clearance Officer, Office of Quality, Privacy and Risk, Department of Veterans Affairs.
[FR Doc. 2018-15638 Filed 7-20-18; 8:45 am]
BILLING CODE 8320-01-P