[Federal Register Volume 75, Number 61 (Wednesday, March 31, 2010)]
[Notices]
[Pages 16136-16137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-7251]
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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 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, call the HRSA Reports Clearance Officer on
(301) 443-1129.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (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: The Health Education Assistance Loan (HEAL) Program:
Physician's Certification of Borrower's Total and Permanent Disability
Form (OMB No. 0915-0204)--Extension
The Health Education Assistance Loan (HEAL) program provided
federally-insured loans to students in schools of allopathic medicine,
osteopathic medicine, dentistry, veterinary medicine, optometry,
podiatric medicine, pharmacy, public health, allied health, or
chiropractic, and graduate students in health administration or
clinical psychology through September 30, 1998. Eligible lenders, such
as banks, savings and loan associations, credit unions, pension funds,
State agencies, HEAL schools, and insurance companies, made new
refinanced HEAL loans which are insured by the Federal Government
against loss due to borrower's death, disability, bankruptcy, and
default. The basic purpose of the program was to assure the
availability of funds for loans to eligible students who needed to
borrow money to pay for their educational loans. Currently, the program
monitors the federal liability, and assists in default prevention
activities.
The HEAL borrower, the borrower's physician, and the holder of the
loan completes the Physician's Certification form to certify that the
HEAL borrower meets the total and permanent disability provisions. The
Department uses this form to obtain detailed information about
disability claims which includes the following: (1) The borrower's
consent to release medical records to the Department of Health and
Human Services and to the holder of the borrower's HEAL loans, (2)
pertinent information supplied by the certifying physician, (3) the
physician's certification that the borrower is unable to engage in any
substantial gainful activity because of a medically determinable
impairment that is expected to continue for a long and indefinite
period of time or to result in death, and (4) information from the
[[Page 16137]]
lender on the unpaid balance. Failure to submit the required
documentation will result in disapproval of a disability claim. No
changes have been made to the current form.
The estimate of burden for the Physician's Certification form is as
follows:
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Number of Responses per Number of Minutes per Total burden
Type of respondent respondents respondent responses response hours
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Borrower........................ 75 1 75 5 6
Physician....................... 75 1 75 30 38
Loan Holder..................... 13 6 78 10 13
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Total....................... 163 .............. 228 .............. 57
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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: March 25, 2010.
Sahira Rafiullah,
Director, Division of Policy and Information Coordination.
[FR Doc. 2010-7251 Filed 3-30-10; 8:45 am]
BILLING CODE 4165-15-P