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:

Proposed Project: Health Education Assistance Loan (HEAL) Program:

Lender's Application for Insurance Claim Form and Request for

Collection Assistance Form (OMB No. 0915-0036)--Revision

This clearance request is for a revision of two forms that are

currently approved by OMB. HEAL lenders use the Lenders Application for

Insurance Claim to request payment from the Federal Government for

federally insured loans lost due to borrowers' death, disability,

bankruptcy, or default. The Lenders Application for Insurance Claim

form (HRSA form 510) has been revised to reflect information necessary

to approve a claim and identify supporting documentation submitted with

the claim request. These revisions will facilitate the Department's

efforts towards electronic claim request submissions. The Request for

Collection Assistance form (HRSA form 513) is used by HEAL lenders to

request federal assistance with the collection of delinquent payments

from HEAL borrowers. No changes are proposed for the Request for

Collection Assistance form.

The estimates of annualized burden are as follows:

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Number of Responses per Total Hours per Total burden

Form respondents respondent responses response hours

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HRSA--510....................... 20 75 1,500 30 minutes 750

HRSA--513....................... 20 1,260 25,200 10 minutes 4,208

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Total Burden................ 20 .............. .............. .............. 4,958

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Written comments and recommendations concerning the proposed

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

Wendy A. Taylor, Human Resources and Housing Branch, Office of

Management and Budget, New Executive Office Building, Room 10235,

Washington, D.C. 20503.

Dated: April 27, 1999.

Jane Harrison,

Director, Division of Policy Review and Coordination.

[FR Doc. 99-11054 Filed 4-30-99; 8:45 am]

BILLING CODE 4160-15-P