Agency Forms Submitted to the Office of Management and Budget for Clearance

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Public Health Service

Agency Forms Submitted to the Office of Management and Budget for

Clearance

Each Friday the Public Health Service (PHS) publishes a list of

information collection requests under review, in compliance with

Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of

these requests, call the PHS Report Clearance on (202) 690-7100.

The following requests have been submitted for review since the

list was last published on April 28.

1. Application for Participation in the National Health Service

Corps Scholarship Program--0915-0146--Extension, no change--This

request for a two-year extension, no change, of the approval for the

application form used by students to apply for scholarship support.

During the next year, proposed changes to the application form will be

pilot tested. Changes to the form will be submitted for OMB approval

late in 1996. Respondents: Individuals or households; Number of

Respondents: 5,000; Number of Responses per Respondent: 1; Average

Burden per Response: 1 hour; Estimated Annual Burden: 5,000 hours. Send

comments to James Scanlon, Office of the Assistant Secretary for

Health, Room 737-F, Humphrey Building, 200 Independence Ave, S.W.,

Washington, D.C. 20201.

2. Surveillance of Hazardous Substances Emergency Event--0923-

0008--Extension, no change--To protect the public's health, ATSDR has

established a national surveillance system which describes the impact

of hazardous substances emergencies on the public's health. The

information is used to examine the distribution of hazardous substance

emergencies, describe the type and cause of morbidity and mortality of

those affected, and develop strategies to reduce subsequent morbidity

and mortality. Respondents: Individuals or households; Number of

Respondents: 16; Number of Responses per Respondent: 357; Average

Burden per Response: 1 hour: Estimated Annual Burden: 5,593 hours. Send

comments to Shannah Koss, Human Resource and Housing Branch, New

Executive Office Building, Room 10235, Washington, D.C. 20503.

3. CMHC Construction Grantee Checklist--0930-0104--Revision--To

ensure that Community Mental Health Center (CMHC) facilities built with

Federal assistance provide mental health services for a 20-year period

as required, the Center for Mental Health Services will: (1) survey the

universe of CMHC construction grantees actively fulfilling their 20-

year service obligation and (2) utilize survey results to determine

appropriate follow up, e.g., waivers, recovery activities. Respondents:

Not-for-profit institutions; Number of Respondents: 295; Number of

Responses per Respondent: 1; Average Burden per Response:. 33 hour;

Estimated Annual Burden: 97 hours. Send comments to James Scanlon,

Office of the Assistant Secretary for Health, Room 737-F, Humphrey

Building, 200 Independence Ave., S.W., Washington, D.C. 20201.

4. Assessment of Work-Related Musculoskeletal Disorders in the

Retail Food Industry--New--Work-Related Musculoskeletal Disorders among

grocery cashiers have risen drastically since the introduction of the

laser scanner. NIOSH investigators and other experts in ergonomics

believe that certain checkstand features are more likely to impose

substantial biomechanical stresses on cashiers than others. However,

little research has been conducted to identify those activities and

related postures of checking that contribute to the increased

prevalence of WMD in this group of workers. The data collected in this

study will be used to develop interventions to reduce WMD among grocery

checkers, including redesign of checkstands and development of better

training courses. Respondents: Individuals or households; Number of

Respondents: 1,000; Number of Responses per Respondent: 1; Average

Burden per Response: 1.71 hours; Estimated Annual Burden: 1,710 hours.

Send comments to Shannah Koss, Human Resources and Housing Branch, New

Executive Office Building, Room 10235, Washington, D.C. 20503.

5. National Sample Survey of Registered Nurses VI--New--Current

national data on employment and practice of registered nurses are

needed to assess the current supply and project the future availability

of nurses. This proposed project will provide detailed statistics on

the registered nurse population needed to prepare the mandated

Secretary's Report to Congress. Respondents: Individuals or households;

Number of Respondents: 41,000; Number of Responses per Respondent: 1;

Average Burden per Response: .33 hour; Estimated Annual Burden: 13,530

hours. Send comments to Shannah Koss, Human Resources and Housing

Branch, New Executive Office Building, Room 10235, Washington, D.C.

20503.

Written comments and recommendations concerning the proposed

information collections should be sent within 30 days of this notice

directly to the individual designated.

Dated: April 27, 1995.

James Scanlon,

Director, Data Policy Staff, Office of the Assistant Secretary for

Health and PHS Reports Clearance Officer.

[FR Doc. 95-10910 Filed 5-4-95; 8:45 am]

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