80 FR 38217 - Agency Information Collection Activities; Proposed Collection; Public Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Federal Register Volume 80, Issue 127 (July 2, 2015)

In compliance with section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). The ICR is for extending the use of the approved information collection assigned OMB control number 0937-0166, which expires on October 31, 2015. Prior to submitting the ICR to OMB, OS seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR.

[Federal Register Volume 80, Number 127 (Thursday, July 2, 2015)]
[Notices]
[Pages 38217-38218]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-16256]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: HHS-OS-0937-0166-60D]


Agency Information Collection Activities; Proposed Collection; 
Public Comment Request

AGENCY: Office of Population Affairs, Office of the Assistant Secretary 
for Health, HHS.

ACTION: Notice.

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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Office of the Secretary (OS), Department of 
Health and Human Services, announces plans to submit an Information 
Collection Request (ICR), described below, to the Office of Management 
and Budget (OMB). The ICR is for extending the use of the approved 
information collection assigned OMB control number 0937-0166, which 
expires on October 31, 2015. Prior to submitting the ICR to OMB, OS 
seeks comments from the public regarding the burden estimate, below, or 
any other aspect of the ICR.

DATES: Comments on the ICR must be received on or before August 31, 
2015.

ADDRESSES: Submit your comments to 
[email protected] or by calling (202) 690-6162.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance 
staff, [email protected] or (202) 690-6162.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the document identifier HHS-OS-0937-0166-
60D for reference.
    Information Collection Request Title: HHS 42 CFR part 50, subpart 
B; Sterilization of Persons in Federally Assisted Family Planning 
Projects--OMB No. 0937-0166-Extension--OASH, Office of Population 
Affairs--Office of Family Planning

[[Page 38218]]

    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). Consent forms are signed by individuals 
undergoing a federally funded sterilization procedure and certified by 
necessary medical authorities. Forms are incorporated into the 
patient's medical records and the agency's records. Through periodic 
site audits and visits, PHS staff review completed consent forms to 
determine compliance with the regulation. Thus, the purpose of the 
consent form is twofold. First, it serves as a mechanism to ensure that 
a person receives information about sterilization and voluntarily 
consents to the procedure. Second, it facilitates compliance 
monitoring. The Sterilization Consent Form has been revised to reflect 
a new expiration date on the Required Consent Form. There are no other 
revisions to the form.
    Likely Respondents: Interested persons who desire to send comments 
regarding this burden estimate or any other aspect of this collection 
of information that OS specifically requests comments.

                                    Total Estimated Annualized Burden--Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
      Type of respondent           Information       Number of     responses per  Average burden    Total hours
                                   collection       respondents     respondent     per response
----------------------------------------------------------------------------------------------------------------
Citizens Seeking Sterilization  Information              100,000               1               1         100,000
                                 Disclosure for
                                 Sterilization
                                 Consent Form.
Citizens Seeking Sterilization  Record-keeping           100,000               1           15/60          25,000
                                 for
                                 Sterilization
                                 Consent Form.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............         125,000
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    OS specifically requests comments on (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.

Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2015-16256 Filed 7-1-15; 8:45 am]
 BILLING CODE 4150-34-P