Scholarships for Disadvantaged Students (SDS) Program

Forms and Documents

Document Name	Status
Form sds1 Scholarships for Disadvantaged Students (SDS) Program Form	Modified
0149 omb questions.doc Supplementary Document	2007-08-31
ss 0149 2007.doc Supporting Statement A	2007-06-11

IC Document Collections

IC ID	Document Title	Status
6377	Scholarships for Disadvantaged Students (SDS) Program Form	Modified

ICR Details

OMB Control No: 0915-0149	ICR Reference No: 200706-0915-004
Status: Historical Active	Previous ICR Reference No: 200310-0915-005
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Scholarships for Disadvantaged Students (SDS) Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/04/2007
	Date Received in OIRA: 06/11/2007
Terms of Clearance: This ICR is approved consistent with memo of August 31, 2007. HRSA agrees to use the revised and corrected forms, as well as provide respondents instructions for filling out the performance report.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2010	36 Months From Approved
Responses	500	0	0
Time Burden (Hours)	10,500	0	0
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:
	72 FR 8759	02/27/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 31080	06/05/2007
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Scholarships for Disadvantaged Students (SDS) Program	sds1, sds2	sds1 ,   sds2

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ICR Summary 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	500	0	0	50	450	0
Annual Time Burden (Hours)	10,500	0	0	-75	10,575	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 SDS application form was discontinued temporarily following the last round of applications. There are no currently approved hours for this activity. At this time, HRSA will be offering funding opportunities for schools and a reinstatement of the application is requested, resulting in a program change. This program change will increase the burden hours from 0 to 10,500 total hours.

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Annual Cost to Federal Government: $50,000

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 06/11/2007

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