Agency Information Collection Activity Under OMB Review: VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs

Federal RegisterJul 23, 2018

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0793]

Agency Information Collection Activity Under OMB Review: VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs

AGENCY:

Veterans Health Administration, Department of Veterans Affairs.

ACTION:

Notice.

SUMMARY:

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.

DATES:

Comments must be submitted on or before August 22, 2018.

ADDRESSES:

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

oira_submission@omb.eop.gov.

Please refer to “OMB Control No. 2900-0793” in any correspondence.

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

cynthia.harvey-pryor@va.gov.

Please refer to “OMB Control No. 2900-0793” in any correspondence.

SUPPLEMENTARY INFORMATION:

Authority:

38 U.S.C. 7601 through 7619, and 38 U.S.C. 7501 through 7505.

Title:

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

Applicants

10-0491g—Application

1,500

1

1,500

60

90,000

1,500

10-0491—Academic Verification

1,500

1

1,500

60

90,000

1,500

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

Total

5,575

Applicants Selected To Receive a Scholarship

10-0491m—Mobility Agreement

30

1

30

10

300

5

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

Total

48

Grand Total for VIOMPSP

5,623

Health Professional Scholarship Program (HPSP): Applicants

10-0491g—Application

5,000

1

5,000

60

300,000

5,000

10-0491—Academic Verification

5,000

1

5,000

60

300,000

5,000

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

Total

18,583

Applicants Selected To Receive a Scholarship

10-0491m—Mobility Agreement

100

1

100

10

1,000

17

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

Total

158

Grand Total for HPSP

18,741

Grand total for both VIOMPSP and HPSP

24,364

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

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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