Agency Information Collection Activities; Submission to OMB for Review and Approval; Public Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: 0990-0324-30D]

Agency Information Collection Activities; Submission to OMB for Review and Approval; Public Comment Request

AGENCY:

Office of the Secretary, HHS.

ACTION:

Notice.

SUMMARY:

In compliance with section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, has submitted an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB) for review and approval. The ICR is for reinstatement of a previously-approved information collection assigned OMB control number 0990-0324, which expired on March 31, 2011. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public on this ICR during the review and approval period.

DATES:

Comments on the ICR must be received on or before April 10, 2017.

ADDRESSES:

Submit your comments to

OIRA_submission@omb.eop.gov

or via facsimile to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT:

Information Collection Clearance staff,

Information.CollectionClearance@hhs.gov

or (202) 690-5683.

SUPPLEMENTARY INFORMATION:

When submitting comments or requesting information, please include the OMB control number 0990-0324 for reference.

Information Collection Request Title:

The Commissioned Corps of the U.S. Public Health Service Application—Medical Forms.

Abstract:

The principal purpose for collecting the information is to permit HHS to determine eligibility for appointment of applicants into the Commissioned Corps of the U.S. Public Health Service (Corps). The Corps is one of the seven Uniformed Services of the United States (37 U.S.C. 101(3)), and appointments in the Corps are made pursuant to 42 U.S.C. 204

et seq.

and 42 CFR 21.58. The application consists of PHS Medical forms noted below.

Likely Respondents:

Candidates/Applicants to the Commissioned Corps.

Total Estimated Annualized Burden—Hours

Form No.

Number of

respondents

Response per

respondent

Average

burden hour

per response

(within 1 hour)

Total burden

hours

PHS-6355

1,000

1

1

1,000

PHS-6379

4,000

1

30/60

2,000

PHS-7053

800

1

6/60

80

PHS-7054

1,320

1

6/60

132

PHS-7055

2,800

1

7/60

327

PHS-7056

1,600

1

7/60

187

PHS-7057

600

1

5/60

50

PHS-7061

2,000

1

10/60

333

Total

4,109

Terry S. Clark,

Asst Information Collection Clearance Officer.

[FR Doc. 2017-04612 Filed 3-9-17; 8:45 am]

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