Change Request Memo for LRP

DATE: August 6, 2019

TO: Office of Management and Budget (OMB)

Through: Reports Clearance Officer, DHHS¹

Mikia P. Currie, Project Clearance Chief, NIH

Matthew Lockhart, Project Clearance Liaison, OD

FROM: Ericka M. Boone, Ph.D.

Director, Division of Loan Repayment, OER, OD

SUBJECT: Change Request to a Currently Approved Form

(OMB # 0925-0361, Expiration Date 08/31/2019)

This is a request for OMB to approve a non-substantial modification of the National Institutes of Health Loan Repayment Programs information collection approved under 0925-0361 which does not change the approved data collection, burden hours, or number of respondents. We are adding an optional question regarding an applicant’s status as an individual from a health disparity population to ensure that no fewer than 50 percent of the Health Disparities Research LRP contracts are for members of a health disparity population. We are utilizing a skip logic so that this question will only appear on the form if an applicant selects the Health Disparities Research LRP (it will not be visible to individuals applying to any of the other NIH LRPs).

Attachment A – Applicant Form (Eligibility Questions)

Your full consideration is appreciated.

1Signature of Submitter