[Federal Register Volume 77, Number 196 (Wednesday, October 10, 2012)]
[Notices]
[Page 61608]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-24845]
[[Page 61608]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
[Document Identifier: HHS-OS-17579-30D]
Agency Information Collection Activities; Submission to OMB for
Review and Approval; Public Comment Request
ACTION: 30-Day notice.
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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork
Reduction Act (PRA) of 1995, the Office of the Secretary (OS),
Department of Health and Human Services, will 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 0937-0166,
scheduled to expire on December 31, 2012. 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.
Deadline: Comments on the ICR must be received within 30 days of
the issuance of this notice.
ADDRESSES: Submit your comments, including the OMB control number 0937-
0166 and document identifier HHS-OS-17579-30D, to [email protected] or via facsimile to (202) 395-5806. Copies of
the supporting statement and any related forms may be requested via
email to [email protected] or by calling (202)
690-6162.
Information Collection Request Title: HHS 42CFR subpart B;
Sterilization of Persons in Federally Assisted Family Planning Projects
Abstract: This is a request for extension of a currently approved
collection for the disclosure and record-keeping requirements codified
at 42 CFR part 50, subpart B (``Sterilization of Persons in Federally
Assisted Family Planning Projects''). The consent form solicits
information to assure voluntary and informed consent to persons
undergoing sterilization in programs of health services which are
supported by federal financial assistance administered by the Public
Health Service (PHS) Act. It provides additional procedural protection
to the individual and the regulation requires that the consent form be
a copy of the form that is appended to the PHS regulation. In 2003, the
PHS sterilization consent form was revised to conform to OMB
government-wide standards for the collection of race/ethnicity data and
to incorporate the PRA burden statement as part of the consent form.
The current form has been updated to conform to the changed name of a
federal entitlement program. The program, Aid to Families with
Dependent Children (AFDC), utilized by low-income families with
dependent children who need federal assistance, has been replaced by a
different program with similar aims, Temporary Assistance for Needy
Families (TANF). Consequently, the reference to A.F.D.C. in the first
paragraph has been replaced with a reference to T.A.N.F.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose or provide the
information requested. This includes the time needed to review
instructions, to develop, acquire, install and utilize technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information, to train personnel and to be able to respond to
a collection of information, to search data sources, to complete and
review the collection of information, and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden--Hours
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Number of Average burden
Forms (if necessary) Type of respondent Number of responses per hours per Total burden
respondents respondent response hours
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100,000......................................... citizen seeking sterilization..... 100,000 1 15/60 25,000
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Keith A. Tucker,
Information Collection Clearance Officer, Department of Health and
Human Services.
[FR Doc. 2012-24845 Filed 10-9-12; 8:45 am]
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