Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

Periodically, the Health Resources and Services Administration

(HRSA) publishes abstracts of information collection requests under

review by the Office of Management and Budget, in compliance with the

Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request a

copy of the clearance requests submitted to OMB for review, call the

HRSA Reports Clearance Office on (301) 443-1129.

The following request has been submitted to the Office of

Management and Budget for review under the Paperwork Reduction Act of

1995:

National Health Service Corps (NHSC) Professional Training and

Information Questionnaire (PTIQ)--The mission of the National Health

Service Corps (NHSC) is to provide health professionals to those

communities and populations located in federally designated health

professional shortage areas (HPSAs) of greatest need. Through the NHSC

Scholarship Program, health professions students receive scholarship

support in return for a commitment to serve in a HPSA for a specified

period of time. The NHSC will utilize the Professional Training and

Information Questionnaire (PTIQ) to collect information from NHSC

scholarship recipients on individual interests, family concerns, and

assignment preferences which will be used in matching scholars to HPSAs

with the greatest need for providers.

Burden Estimates Are as Follows

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Number of Responses per Hours per Total burden

Type of respondent respondents respondent response hours

----------------------------------------------------------------------------------------------------------------

Physicians...................................... 200 1 0.50 100

Nurse Practitioners, Physician Assistants, and

Certified Nurse Midwives....................... 100 1 0.50 50

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Estimated Total Annual Burden: 150 hours.

Written comments and recommendations concerning the proposed

information collection should be sent within 30 days of this notice to:

Virginia Huth, Human Resources and Housing Branch, Office of Management

and Budget, New Executive Office Building, Room 10235, Washington, DC

20503.

Dated: May 31, 1996.

J. Henry Montes,

Associate Administrator for Policy Coordination.

[FR Doc. 96-14136 Filed 6-5-96; 8:45 am]

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