Agency Information Collection Activities: Submission to the Office of Management and Budget for Review and Approval; Public Comment Request; Application and Other Forms Used by the National Health Service Corps Scholarship Program, the National Health Service Corps Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program-OMB No. 0915-0146-Revision
Federal RegisterDec 16, 2025
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to the Office of Management and Budget for Review and Approval; Public Comment Request; Application and Other Forms Used by the National Health Service Corps Scholarship Program, the National Health Service Corps Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program—OMB No. 0915-0146—Revision
AGENCY:
Health Resources and Services Administration (HRSA), Department of Health and Human Services.
ACTION:
Notice.
SUMMARY:
In compliance with the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. OMB may act on HRSA's ICR only after the 30-day comment period for this notice has closed.
DATES:
Comments on this ICR should be received no later than January 15, 2026.
ADDRESSES:
Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to
www.reginfo.gov/public/do/PRAMain.
Find this information collection by selecting “Currently under Review—Open for Public Comments” or by using the search function.
FOR FURTHER INFORMATION CONTACT:
To request a copy of the clearance requests submitted to OMB for review, email Samantha Miller, the HRSA Information Collection Clearance Officer, at
paperwork@hrsa.gov
or call (301) 443-3983.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Application and Other Forms Used by the National Health Service Corps Scholarship Program, the National Health Service Corps Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program, OMB No. 0915-0146—Revision.
Abstract:
Administered by HRSA's Bureau of Health Workforce, the National Health Service Corps (NHSC) Scholarship Program (SP), the NHSC Students to Service Loan Repayment Program (S2S LRP), and the Native Hawaiian Health Scholarship Program (NHHSP) provide scholarships or loan repayment to qualified students who are pursuing primary care health professions education and training. In return, students agree to provide primary health care services in underserved communities located in federally designated health professional shortage areas once they are fully trained and licensed health professionals. Awards are made to applicants who demonstrate the greatest potential for successful completion of their education and training as well as commitment to provide primary health care services to communities of greatest need. The information from program applications, forms, and supporting documentation is used to select the best qualified candidates for these competitive awards, and to monitor program participants' enrollment in school, postgraduate training, and compliance with program requirements.
Although some program forms vary from program to program (see program-specific burden charts below), required forms generally include a program application, academic and non-academic letters of recommendation, the authorization to release information, and the acceptance/verification of good academic standing report. The NHSC SP and the NHSC S2S LRP have added two forms for this information collection request, which include a Proof of Citizenship document and an essay. Additionally, the process used to monitor program participants while in school via the Enrollment Verification Form has been modernized and renamed to In-School Verification, which will allow program participants to verify their enrollment status electronically, bringing efficiency to the process. The NHHSP is not seeking to change or add any forms or documentation.
A 60-day notice published in the
Federal Register
on August 5, 2025, vol. 90, No. 148; pp. 37529-31. There were no public comments.
Need and Proposed Use of the Information:
The NHSC SP, S2S LRP, and NHHSP applications, forms, and supporting documentation are used to collect necessary information from applicants and schools that enable HRSA to make selection determinations for the competitive awards and monitor compliance (via training programs and sites) with program requirements.
Likely Respondents:
Qualified students who are pursuing education and training in primary care health professions and are interested in working in health professional shortage areas, schools at which such students are enrolled, and post graduate training programs/sites which such students will attend.
Burden Statement:
Burden in this context means the time expended by persons to generate, maintain, retain, disclose, or provide the information requested. This includes the time needed to review instructions; to develop, acquire, install, and utilize technology and systems for the purpose of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; to train personnel and to be able to respond to a collection of information; to search data sources; to complete and review the collection of information; and to transmit or otherwise disclose the information. The total annual burden hours estimated for this ICR are summarized in the table below.
Total Estimated Annualized Burden Hours:
NHSC SP Application
Form name
Number of
respondents
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
(hours)
NHSC Scholarship Program Application
3,100
1
3,100
2.00
6,200.00
Letters of Recommendation
3,100
2
6,200
1.00
6,200.00
Proof of Citizenship
3,100
1
3,100
0.20
620.00
Essay
3,100
1
3,100
1.00
3,100.00
Authorization to Release Information
3,100
1
3,100
0.10
310.00
Acceptance/Verification of Good Standing Report
3,100
1
3,100
0.25
775.00
Verification of Disadvantaged Background Status
615
1
615
0.25
153.75
Total
* 3,100
22,315
17,358.75
*
Certain documents are submitted by a subset of respondents consistent with program requirements.
NHSC Awardees/Schools/Post Graduate Training Programs/Sites
Form name
Number of
respondents
Number of
responses per
respondent
Total responses
Average
burden per
response
(in hours)
Total burden
(hours)
Data Collection Worksheet
550
1
550
1.00
550.00
Post Graduate Training Verification Form
383
1
383
0.50
191.50
In-School Verification
1,275
4
5,100
0.10
510.00
Total
* 1,275
6,033
1,251.50
*
Please note that the same group of respondents may complete each form as necessary.
NHSC S2S LRP Application
Form name
Number of
respondents
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
(hours)
NHSC Students to Service LRP Application
348
1
348
2.00
696.00
Proof of Citizenship
348
1
348
0.10
34.80
Essay
348
1
348
1.00
348.00
Letters of Recommendation
348
1
348
2.00
696.00
Authorization to Release Information
348
1
348
0.10
34.80
Acceptance/Verification of Good Standing Report
348
1
348
0.25
87.00
Verification of Disadvantaged Background Status
115
1
115
0.25
28.75
Total
* 348
2,203
1,925.35
*
Certain documents are submitted by a subset of respondents consistent with program requirements.
NHHSP Application
Form name
Number of
respondents
Number of
responses per
respondent
Total responses
Average
burden per
response
(in hours)
Total burden
(hours)
NHHSP Program Application
200
1
200
2.00
400.00
Letters of Recommendation
400
1
400
0.25
100.00
Authorization to Release Information
200
1
200
0.25
50.00
Acceptance/Verification of Good Standing Report
40
1
40
0.25
10.00
Scholar Enrollment Verification Form
40
4
160
0.50
80.00
Change in Program Curriculum Form
40
1
40
0.25
10.00
NHHSP Graduation Documentation Form
40
1
40
0.25
10.00
Total
* 200
1,080
660.00
*
Certain documents are submitted by a subset of respondents consistent with program requirements.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-22931 Filed 12-15-25; 8:45 am]
BILLING CODE 4165-15-P
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