NURSE Corps Loan Repayment Program

ICR 202002-0915-001

OMB: 0915-0140

Federal Form Document

Forms and Documents
ICR Details
0915-0140 202002-0915-001
Active 201804-0915-004
HHS/HSA 21547
NURSE Corps Loan Repayment Program
Revision of a currently approved collection   No
Regular
Approved with change 03/27/2020
Retrieve Notice of Action (NOA) 02/05/2020
  Inventory as of this Action Requested Previously Approved
03/31/2023 36 Months From Approved 05/31/2021
24,200 0 21,900
16,450 0 25,505
0 0 0

The need and purpose of this information collection is to obtain information for Nurse Corps LRP applicants and participants. The information is used to consider an applicant for a Nurse Corps LRP contract award, and to monitor a participant’s compliance with the service requirements. Individuals must submit an application in order to participate in the program. The application asks for personal, professional, educational, and financial information required to determine the applicant's eligibility to participate in the Nurse Corps LRP. The semi-annual employment verification form asks for personal and employment information to determine if a participant is in compliance with the service requirements. Respondents include professional RNs or advanced practice RNs (i.e., nurse practitioners, certified registered nurse anesthetists, certified nurse-midwives, clinical nurse -0ecialists) who are interested in participating in the Nurse Corps LRP, and official representatives at their service sites.

US Code: 42 USC 297n Section 846(a) Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 54617 10/10/2019
85 FR 5455 01/30/2020
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 24,200 21,900 0 2,300 0 0
Annual Time Burden (Hours) 16,450 25,505 0 -9,055 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Using Information Technology
The increase in burden is due to an increase in respondents. This information collection activity is web-based (with exception of some forms as previously mentioned); the application, application instructions and forms are available at http://www.hrsa.gov/loanscholarships/repayment/nursing/index.html. This allows HRSA to minimize the burden on applicants only see questions that are relevant to the program they are applying to, import loan data from the Department of Education, and save their application progress so that they can complete it on their own schedule.

$973,000
No
    Yes
    Yes
Yes
No
No
Uncollected
Elyana Bowman 301 443-3983 enadjem@hrsa.gov

  No

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.
02/05/2020


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