Agency Information Collection Activities: Proposed Collection: Public Comment Request Information Collection Request Title: The National Health Service Corps Loan Repayment Program, OMB No. 0915-0127-Revision

Federal Register, Volume 84 Issue 138 (Thursday, July 18, 2019)
[Federal Register Volume 84, Number 138 (Thursday, July 18, 2019)]
[Pages 34402-34403]
From the Federal Register Online via the Government Publishing Office []
[FR Doc No: 2019-15306]
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request Information Collection Request Title: The
National Health Service Corps Loan Repayment Program, OMB No. 0915-
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services (HHS).
ACTION: Notice.
SUMMARY: In compliance with the requirement of the Paperwork Reduction
Act of 1995 for opportunity for public comment on proposed data
collection projects, HRSA announces plans to submit an Information
Collection Request (ICR), described below, to the Office of Management
and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks
comments from the public regarding the burden estimate, below, or any
other aspect of the ICR.
DATES: Comments on this ICR should be received no later than September
16, 2019.
ADDRESSES: Submit your comments to [email protected] or mail them to
HRSA Information Collection Clearance Officer, Room 14N136B, 5600
Fishers Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the data collection plans and
draft instruments, email [email protected] or call Lisa Wright-
Solomon, the HRSA Information Collection Clearance Officer at (301)
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the information request collection title
for reference.
    Information Collection Request Title: The National Health Service
Corps Loan Repayment Program, OMB No. 0915-0127--Revision.
    Abstract: The National Health Service Corps (NHSC) Loan Repayment
Program (LRP) was established to assure an adequate supply of trained
primary care health professionals to provide services in the neediest
Health Professional Shortage Areas (HPSAs) of the United States. The
NHSC Substance Use Disorder (SUD) Workforce LRP and the NHSC Rural
Community LRP were established to recruit and retain a health
professional workforce with specific training and credentials to
provide evidence-based SUD treatment in HPSAs. Under these programs,
HHS agrees to repay the qualifying educational loans of selected
primary care health professionals. In return, the health professionals
agree to serve for a specified period of time in a NHSC-approved site
located in a federally-designated HPSA approved by the Secretary for
LRP participants. The forms utilized by each LRP include the following:
(1) The NHSC LRP Application, the Authorization for Disclosure of Loan
Information form, (2) the Privacy Act Release Authorization form, and,
if applicable, (3) the Verification of Disadvantaged Background form,
and (4) the Private Practice Option form. The first three of the
aforementioned NHSC LRP forms collect information that is needed for
selecting participants and repaying qualifying educational loans. The
last referenced form, the Private Practice Option Form, is needed to
collect information for all participants who have applied for that
service option.
    NHSC-approved sites are health care facilities that provide
comprehensive outpatient, ambulatory, primary health care services to
populations residing in HPSAs. Related in-patient services may be
provided by NHSC-approved Critical Access Hospitals and Indian Health
Service hospitals. In order to become an NHSC-approved site, new sites
must submit a Site Application for review and approval. Existing NHSC-
approved sites are required to complete a Site Recertification
Application every 3 years in order to maintain their NHSC-approved
status. Both the NHSC Site Application and Site Recertification
Application request information on the clinical service site,
sponsoring agency, recruitment contact, staffing levels, service users,
charges for services, employment policies, and fiscal management
capabilities. Assistance in completing these applications may be
obtained through the appropriate State Primary Care Office and the
NHSC. The information collected on the applications is used for
determining the eligibility of sites for the assignment of NHSC health
professionals and to verify the need for NHSC clinicians. NHSC service
site approval is valid for 3 years.
    Need and Proposed Use of the Information: The need and purpose of
this information collection is to assess an LRP applicant's eligibility
and qualifications for the LRP, and to obtain information for NHSC site
applicants. The NHSC LRP application asks for personal, professional,
and financial/loan information.
    The proposed revisions in this ICR include asking applicants to
provide their educational information on the completion of advanced
training such as the Primary Care Training and Enhancement (PCTE)
Champion fellowship. To identify the PCTE Champions, the NHSC will
require applicants to respond to the following additional questions and
submit their National Practitioner Identifier (NPI):
    (1) Have you completed a fellowship?
    (2) Applicants who selected ``yes'' to the question above are
required to submit the NPI number.
    NHSC policy requires behavioral health providers to practice in a
community-based setting that provides access to comprehensive
behavioral health services. Accordingly, for those sites seeking to be
assigned behavioral health NHSC participants, additional site
information will be collected from an NHSC Comprehensive Behavioral
Health Services Checklist. NHSC sites that do not directly offer all
required behavioral health services must demonstrate a formal
affiliation with a comprehensive, community-based primary behavioral
health setting or facility to provide these services.
    Likely Respondents: Likely respondents include: (1) Licensed
primary care medical, dental, and mental and behavioral health
providers who are employed or seeking employment, and are interested in
serving underserved populations; (2) health care facilities interested
in participating in the NHSC and becoming an NHSC-approved service
site; and (3) NHSC sites providing behavioral health care services
directly, or through a formal affiliation with a comprehensive
community-based primary behavioral health setting or facility providing
comprehensive behavioral health services.
    Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose, or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install, and utilize technology and
systems for the purpose of collecting, validating, and verifying
[[Page 34403]]
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
                                     Total Estimated Annualized Burden Hours
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents    responses per     responses     response  (in       hours
                                                    respondent                        hours)
NHSC LRP Application............           9,020               1           9,020            1.00         9,020.0
Authorization for Disclosure of            7,150               1           7,150             .10           715.0
 Loan Information Form..........
Privacy Act Release                          303               1             303             .10            30.3
 Authorization Form.............
Verification of Disadvantaged                660               1             660             .50           330.0
 Background Form................
Private Practice Option Form....             330               1             330             .10            33.0
NHSC Comprehensive Behavioral              4,400               1           4,400             .13           572.0
 Health Services Checklist......
NHSC Site Application (including           4,070               1           4,070             .50         2,035.0
    Total.......................          25,933  ..............          25,933  ..............        12,735.3
    HRSA specifically requests comments on (1) the necessity and
utility of the proposed information collection for the proper
performance of the agency's functions, (2) the accuracy of the
estimated burden, (3) ways to enhance the quality, utility, and clarity
of the information to be collected, and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Maria G. Button,
Director, Division of the Executive Secretariat.
[FR Doc. 2019-15306 Filed 7-17-19; 8:45 am]