[Federal Register Volume 75, Number 248 (Tuesday, December 28, 2010)]
[Notices]
[Page 81623]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-32561]
[[Page 81623]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Health Resources and Services Administration
(HRSA) publishes abstracts of information collection requests under
review by the Office of Management and Budget (OMB), in compliance with
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request
a copy of the clearance requests submitted to OMB for review, e-mail
[email protected] or call the HRSA Reports Clearance Office on (301)
443-1129.
The following request has been submitted to the Office of
Management and Budget for review under the Paperwork Reduction Act of
1995:
Proposed Project: The Nursing Education Loan Repayment Program
Application (OMB No. 0915-0140)--Revision
This is a request for revision of the Nursing Education Loan
Repayment Program (NELRP) application and participant monitoring forms.
The NELRP is authorized by 42 U.S.C. 297n(a) (section 846(a) of the
Public Health Service Act, as amended by Public Law 107-205, August 1,
2002 and Public Law 111-148, March 23, 2010).
Under the NELRP, registered nurses and nurse faculty are offered
the opportunity to enter into a contractual agreement with the
Secretary to receive loan repayment for up to 85 percent of their
qualifying educational loan balance as follows: 30 percent each year
for the first 2 years and 25 percent for the optional third year. In
exchange, the nurses agree to serve full-time for a minimum of 2 years
as a registered nurse at a health care facility with a critical
shortage of nurses or as nurse faculty at an eligible school of
nursing. The NELRP forms provide information that is needed for
selecting participants, repaying qualifying loans for education, and
monitoring compliance with service requirements. The NELRP forms
include the following: The NELRP Application, the Loan Information and
Verification form, the Employment Verification and Critical Shortage
Facility form, the Employment Verification for Nurse Faculty
Appointment, the Authorization for Release of Employment Information
form, the Authorization to Release Information form, the Certification
Regarding Debarment, Suspension, Disqualification and Related Matters
form, the Certification of Accreditation Status for School of Nursing
Education Programs form, the NELRP Application Checklist and Self-
Certification form, the Verification of Acceptance or Decline of Award
form and the Participant Semi-Annual Employment Verification form.
The estimates of reporting burden for Applicants are as follows:
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Number of Responses/ Total Hours per Total burden
Instrument respondents respondents responses response hours
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NELRP Application............... 8,000 1 8,000 1.5 12,000
Loan Information and 8,000 3 24,000 1 24,000
Verification Form..............
Employment Verification and 7,500 1 7,500 .50 3,750
Critical Shortage Facility Form
Employment Verification for 500 1 500 .25 125
Nurse Faculty Appointment Form.
Authorization for Release of 8,000 1 8,000 .10 800
Employment Information Form....
Authorization to Release 8,000 1 8,000 .10 800
Information Form...............
Certification Regarding 8,000 1 8,000 .10 800
Debarment, Suspension,
Disqualification and Related
Matters Form...................
Certification Of Accreditation 500 1 500 .10 50
Status for School of Nursing
Education Programs Form........
Application Checklist and Self- 8,000 1 8,000 .50 4,000
Certification Form.............
The Verification of Acceptance 1,200 1 1,200 .25 300
or Decline of Award form.......
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Total....................... .............. .............. 73,700 .............. 46,625
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The annual estimate of burden for Participants is as follows:
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Participant Semi-Annual 2,300 2 4,600 .5 2,300
Employment Verification Form...
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Total....................... 2,300 2 4,600 .5 2,300
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Written comments and recommendations concerning the proposed
information collection should be sent within 30 days of this notice to
the OMB desk officer for HRSA, either by e-mail to [email protected] or by fax to 202-395-6974. Please direct all
correspondence to the ``attention of the OMB desk officer for HRSA.''
Dated: December 21, 2010.
Robert Hendricks,
Director, Division of Policy and Information Coordination.
[FR Doc. 2010-32561 Filed 12-27-10; 8:45 am]
BILLING CODE 4165-15-P