This information
collection is approved for use until May 1994. OMB approval extends
to the IHS-856 and the forms contained in the applicant information
instruction booklet and the student handbook. The IHS Scholarship
application form must be corrected to change the form number from
HRSA-856 to IHS-856. IHS must submit a revised burden estimate as
soon as possible to include those forms contained in the student
handbook and the IHS 815, 816, 817 and 818.
Inventory as of this Action
Requested
Previously Approved
05/31/1994
05/31/1994
03/31/1991
2,625
0
3,500
4,418
0
2,625
0
0
0
THE INFORMATION TO BE COLLECTE WILL BE
USED TO SELECT IHS PREGRADUATE, PREPARATORY AND/OR HEALTH
PROFESSIONS SCHOLARSHIP GRANTEES.
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.