[Federal Register Volume 81, Number 239 (Tuesday, December 13, 2016)] [Notices] [Page 89952] From the Federal Register Online via the Government Publishing Office [http://www.gpo.gov/] [FR Doc No: 2016-29810] [[Page 89952]] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary [Document Identifier: HHS-OS-0990-0001-30D] Agency Information Collection Activities; Proposed Collection; Public Comment Request AGENCY: Office of the Secretary, HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB) for review and approval. The ICR is for renewal of the approved information collection assigned OMB control number 0990-0001, scheduled to expire on December 31, 2016. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public on this ICR during the review and approval period. DATES: Comments on the ICR must be received on or before January 12, 2017. ADDRESSES: Submit your comments to [email protected] or via facsimile to (202) 395-5806. FOR FURTHER INFORMATION CONTACT: Information Collection Clearance staff, [email protected] or (202) 690-5683. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the document identifier HHS-OS-0990-0001- 30D for reference. Information Collection Request Title: Application for waiver of the two-year foreign residence requirement of the Exchange Visitor Program. OMB No.: 0990-0001. Abstract: The Department of Health and Human Services, Office of Global Affairs, OGA is seeking an approval on an extension by OMB on a previously approved information collection request. The OGA program deals with both research and clinical care waivers. Applicant institutions apply to HHS to request a waiver on behalf of research scientists or foreign medical graduates to work as clinicians in HHS designated health shortage areas doing primary care in medical facilities. The instructions request a copy of Form G-28 from applicant institutions represented by legal counsel outside of the applying institution. United States Department of Justice Form G-28 ascertains that legal counsel represents both the applicant organization and the exchange visitor. Need and Proposed Use of the Information: Required as part of the application process to collect basic information such as name, address, family status, sponsor and current visa information. Likely Respondents: Research scientists and research facilities. Annualized Estimate Burden Hour Table ---------------------------------------------------------------------------------------------------------------- Number Average burden Type of respondent Form name Number of responses per per response Total burden respondents respondent (in hours) hours ---------------------------------------------------------------------------------------------------------------- Application Waiver/ HHS 426.......... 45 1 10 450 Supplemental A Research. Application Waiver/ HHS 426.......... 35 1 10 350 Supplemental B Clinical Care. --------------------------------------------------------------- Total.................... ................. .............. .............. .............. 800 ---------------------------------------------------------------------------------------------------------------- OS 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. Terry S. Clark, Asst. Information Collection Clearance Officer. [FR Doc. 2016-29810 Filed 12-12-16; 8:45 am] BILLING CODE 4150-38-P