E6-15994. Agency Information Collection Activities: Proposed Collection; Comment Request

AGENCY:

Office of the Secretary, HHS.

In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is publishing the following summary of a proposed collection for public comment. Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (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.

Type of Information Collection Request: Extension.

Title of Information Collection: Application for Appointment as a Commissioned Officer in the U.S. Public Health Service Commissioned Corps and Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps.

Form/OMB No.: 0937-0025.

Use: The purpose of this collection is to enable individuals to obtain forms and apply for an appointment in the U.S. Public Health Service Commissioned Corps and to obtain references as part of the application process. Information supplied on the forms will be used by appropriate Department officials to evaluate candidates for appointment.

If the applicant is appointed, the information collected will be used for subsequent personnel actions such as transfer, promotion, and in determining eligibility for benefits. If the applicant is not appointed, the records are retained for 2 years (4 years for an applicant to the Medical category) and then destroyed.

Frequency: On Occasion.

Affected Public: Individuals or Households.

Annual Number of Respondents: 1,665.

Total Annual Responses: 1,665.

Average Burden per Response: 1.25.

Total Annual Hours: 3,000.

To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, e-mail your request, including your address, phone number, OMB number, and OS document identifier, to [e-mail], or call the Reports Clearance Office on [phone]. Written comments and recommendations for the proposed information collections must be received within 60-days, and directed to the OS Paperwork Clearance Officer at the following address: Department of Health and Human Services, Office of the Secretary, Assistant Secretary for Research and Technology, Office of Resource Management, Attention: Sherrette Funn-Coleman (0937-0025), Room 537-H, 200 Independence Avenue, SW., Washington DC 20201.

Dated: September 20, 2006.

Alice Bettencourt,

Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer.