80_FR_62023
Page Range | 61825-61826 | |
FR Document | 2015-26057 |
[Federal Register Volume 80, Number 198 (Wednesday, October 14, 2015)] [Notices] [Pages 61825-61826] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-26057] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary [Document Identifier: HHS-OS-0937-0166] Agency Information Collection Activities; Submission to OMB for Review and Approval; Public Comment Request AGENCY: Office of the Secretary, HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: In compliance with section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, has submitted 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 October 31, 2015. 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. DATES: Comments on the ICR must be received on or before November 13, 2015. ADDRESSES: Submit your comments to [email protected] or via facsimile to (202) 395-5806. 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 OMB control number 0937-0166 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. 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 [[Page 61826]] Form has added the expiration date on the Required Consent Form. Likely Respondents: American citizens seeking federally- funded sterilizations. 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 ---------------------------------------------------------------------------------------------------------------- Darius Taylor, Information Collection Clearance Officer. [FR Doc. 2015-26057 Filed 10-13-15; 8:45 am] BILLING CODE 4150-34-P
Category | Regulatory Information | |
Collection | Federal Register | |
sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
Publisher | Office of the Federal Register, National Archives and Records Administration | |
Section | Notices | |
Action | Notice. | |
Dates | Comments on the ICR must be received on or before November 13, 2015. | |
Contact | Information Collection Clearance staff, [email protected] or (202) 690-6162. | |
FR Citation | 80 FR 61825 |