74 FR 144 pgs. 37711-37712 - Agency Information Collection Request. 30-Day Public Comment Request

Type: NOTICEVolume: 74Number: 144Pages: 37711 - 37712
Docket number: [Document Identifier: OS-0990-0269; 30-day notice]
FR document: [FR Doc. E9-18014 Filed 7-28-09; 8:45 am]
Agency: Health and Human Services Department
Official PDF Version:  PDF Version

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-0990-0269; 30-day notice]

Agency Information Collection Request. 30-Day Public 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.

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 Sherette.funncoleman@hhs.gov, or call the Reports Clearance Office on (202) 690-5683. Send written comments and recommendations for the proposed information collections within 30 days of this notice directly to the OS OMB Desk Officer; faxed to OMB at 202-395-5806.

Proposed Project: Complaint Forms for Discrimination; Health Information Privacy Complaints OMB No. 0990-0269 -Extension-Office of Civil Rights.

Abstract: The Office for Civil Rights is seeking approval for a 3 year clearance on a previous collection. Individuals may file written complaints with the Office for Civil Rights when they believe they have been discriminated against by programs or entities that receive Federal financial assistance from the Health and Human Service or if they believe that their right to the privacy of protected health information has been violated. Annual Number of Respondents frequency of submission is record keeping and reporting on occasion.

Forms Type of respondent Number of respondents Number of responses per respondent Average burden hours per response Total burden hours
Civil Rights Complaint Form Individuals or households, Not-for-profit institutions 3037 1 45/60 2278
Health Information Privacy Complaint Form Individuals or households, Not-for-profit institutions 8944 1 45/60 6708
Total 8986

Seleda Perryman,

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

[FR Doc. E9-18014 Filed 7-28-09; 8:45 am]

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