# Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Faculty Loan Repayment Program, OMB No. 0915-0150—Extension
**AGENCY:**
Health Resources and Services Administration, (HRSA), Department of Health and Human Services (HHS).
**ACTION:**
Notice.
**SUMMARY:**
In compliance with the Paperwork Reduction Act of 1995, HRSA has submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period.
**DATES:**
Comments on this ICR should be received no later than July 30, 2018.
**ADDRESSES:**
Submit your comments including the Information Collection Request Title, to the desk officer for HRSA, either by email to *[email protected]* or by fax to 202-395-5806.
**FOR FURTHER INFORMATION CONTACT:**
To request a copy of the clearance requests submitted to OMB for review, email Lisa Wright-Solomon, the HRSA Information Collection Clearance Officer at *[email protected]* or call (301) 443-1984.
**SUPPLEMENTARY INFORMATION:**
*Information Collection Request Title:* Faculty Loan Repayment Program OMB No. 0915-0150—Extension.
*Abstract:* HRSA administers the Faculty Loan Repayment Program (FLRP). FLRP provides degree-trained health professionals from disadvantaged backgrounds based on environmental and/or economic factors the opportunity to enter into a contract with HHS in exchange for the repayment of qualifying educational loans for a minimum of 2 years of service as a full-time or part-time faculty member at eligible health professions schools.
*Need and Proposed Use of the Information:* The information collected will be used to evaluate applicants' eligibility to participate in FLRP and to monitor FLRP-related activities.
*Likely Respondents:* FLRP applicants and institutions providing employment to the applicants.
*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 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.
| Form name | Number of | Number of | Total | Average | Total burden hours |
| --- | --- | --- | --- | --- | --- |
| Eligible Applications | 111 | 1 | 111 | 1.00 | 111.00 |
| Institution/Loan Repayment Employment Form * | 111 | 1 | 111 | 1.00 | 111.00 |
| Authorization to Release Information Form | 111 | 1 | 111 | 0.25 | 27.75 |
| Total | 333 | | | | 249.75 |
Amy P. McNulty,
Acting Director, Division of the Executive Secretariat.