Scholarships for Disadvantaged Students (SDS) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2010 supportingstatment-0915-0149.doc	Supporting Statement A	Uploaded 2010-11-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6377	Scholarships for Disadvantaged Students (SDS) Program	Instruction	Modified

ICR Details

OMB Control No: 0915-0149	ICR Reference No: 201011-0915-001
Status: Historical Active	Previous ICR Reference No: 200706-0915-004
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Scholarships for Disadvantaged Students (SDS) Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/23/2010
	Date Received in OIRA: 11/09/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	36 Months From Approved	11/30/2010
Responses	600	0	500
Time Burden (Hours)	8,400	0	10,500
Cost Burden (Dollars)	0	0	0

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Abstract: The Scholarships for Disadvantaged Students (SDS) Program provides scholarship funds to schools for distribution to undergraduate and graduate students from disadvantage backgrounds who are preparing for the health professions.

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Authorizing Statute(s): PL: Pub.L. 105 - 392 737 Name of Law: Scholarships for Disadvantaged Students
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 19650	04/15/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 46945	08/04/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Scholarships for Disadvantaged Students (SDS) Program	SDS App, SDS PR	SDS Application Form ,   SDS Peformance Report

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ICR Summary of Burden

table that charts list of burden

	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	600	500	0	100	0	0
Annual Time Burden (Hours)	8,400	10,500	0	-2,100	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The transition of the application and progress report to the HRSA Electronic Handbook system has led to optimal performance for data collection. The annual hour burden has decreased by 2,100 hours from 10,500 to 8,400. There is an estimated increase of 100 respondents.

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Annual Cost to Federal Government: $85,440

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/09/2010

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