[Federal Register Volume 75, Number 172 (Tuesday, September 7, 2010)]
[Notices]
[Page 54342]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-22233]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Comment Request
In compliance with the requirement for opportunity for public
comment on proposed data collection projects (section 3506(c)(2)(A) of
Title 44, United States Code, as amended by the Paperwork Reduction Act
of 1995, Pub. L. 104-13), the Health Resources and Services
Administration (HRSA) publishes periodic summaries of proposed projects
being developed for submission to the Office of Management and Budget
(OMB) under the Paperwork Reduction Act of 1995. To request more
information on the proposed project or to obtain a copy of the data
collection plans and draft instruments, e-mail [email protected] or
call the HRSA Reports Clearance Officer at (301) 443-1129.
Comments are invited on: (a) The proposed collection of information
for the proper performance of the functions of the agency; (b) the
accuracy of the agency's estimate of the burden of the proposed
collection of information; (c) ways to enhance the quality, utility,
and clarity of the information to be collected; and (d) ways to
minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: National Health Service Corps Information Follow-up
Form--[New]
The National Health Service Corps (NHSC) of the Bureau of Clinician
Recruitment and Service, HRSA, is committed to improving the health of
the Nation's underserved by uniting communities in need with caring
health professionals and by supporting communities' efforts to build
better systems of care.
The NHSC Information Follow-up Form, which NHSC will use when
exhibiting at national and regional conferences as well as when
presenting on campuses to health profession students, is an optional
form that a health profession student, licensed clinician, faculty
member, or clinical site administrator can fill out. Individuals who
submit the form to NHSC, may ask questions and/or sign up to receive
periodic program updates and other general information regarding
opportunities with the NHSC via e-mail. An individual is free to
discontinue receiving communication from NHSC at anytime by e-mailing
[email protected]. Completed forms will contain information such as,
the names of the individuals, their e-mail address(es), their city and
State, their phone number, the organization where they are employed (or
the school which they attend), the year they intend to graduate (if
applicable), how they heard about NHSC, which NHSC programs they are
interested in, etc. Assistance in completing the form will be given by
the BCRS staff person (or BCRS representative) who is present at the
event. Based on the FY10 exhibit and presentation schedule, NHSC could
have gathered information from 2,400 individuals. Using this as a guide
for future years, the estimated annual burden is as follows:
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Total
Form Number of Responses per Total Hours per response burden
respondents respondent responses hours
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Information Follow-up Form.................... 2,400 1 2,400 .025 (90 seconds)............................. 60
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Total..................................... 2,400 1 2,400 .025 (90 seconds)............................. 60
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E-mail comments to [email protected] or mail the HRSA Reports
Clearance Officer, Room 10-33, Parklawn Building, 5600 Fishers Lane,
Rockville, MD 20857. Written comments should be received within 60 days
of this notice.
Dated: September 1, 2010.
Sahira Rafiullah,
Director, Division of Policy and Information Coordination.
[FR Doc. 2010-22233 Filed 9-3-10; 8:45 am]
BILLING CODE 4165-15-P