This information
collection is approved for use until September 30, 1991. OMB
conditionally approves the forms with the agreement that the agency
must submit final versions of the forms which reflect amendments
agreed to in the October 17, 1990 Note to Angela Antonelli, OMB
from Nancy Pearce, PHS. This should include the agency's counsel
written concurrence that the terms of the contract and other forms
are consistent with relevant regulations. All of the forms (HRSA
950-955) should cite at the beginning the statutes and regulations
governing the operation of the Nurse Practitioner and Nurse
Midwifery Traineeship Programs. HRSA should consider whether the
program forms are in compliance with the Privacy Act of 1974
requiring the agency to provide notification to individuals asked
to supply information (see HRSA's NHSC program forms, OMB no.
0915-0127). In addition, HRSA should examine the extent to which
the program forms can be consolidated (e.g., HRSA 953 and 955) and
still meet the requirements of program regulations. HRSA should
seek consultation on the forms before the next submission to
OMB.
Inventory as of this Action
Requested
Previously Approved
09/30/1991
09/30/1991
09/30/1990
1,736
0
1
370
0
1
0
0
0
CLEARANCE IS REQUESTED TO MOVE THE
NPRM TO FINAL RULE AND FINALIZE THE RESPONSE BURDEN. APPROVAL IS
NEEDED FOR FIVE FORMS NEEDED TO OPERATE THE PROGRAM AND TRACK THE
RECIPIENTS THROUGH THE OBLIGATORY SERVICE PERIOD. THE DATA ARE
PROVIDED BY TRAINING PROGRAMS, THE TRAINEES AND THE
EMPLOYERS.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.