80_FR_81026 80 FR 80778 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Public Comment Request

80 FR 80778 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Public Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary

Federal Register Volume 80, Issue 248 (December 28, 2015)

Page Range80778-80778
FR Document2015-32551

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 0945-0002, scheduled to expire on December 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.

Federal Register, Volume 80 Issue 248 (Monday, December 28, 2015) 
[Federal Register Volume 80, Number 248 (Monday, December 28, 2015)]
[Notices]
[Page 80778]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-32551]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier HHS-OS-0945-0002-30D]


Agency Information Collection Activities; Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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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 0945-0002, scheduled 
to expire on December 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 January 27, 
2016.

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 0945-0002 for 
reference.
    Proposed Project: Complaint Forms for Discrimination; Health 
Information Privacy Complaints OMB No. 0945-0002--Extension--Office of 
Civil Rights
    Abstract: The Office for Civil Rights is seeking an extension on an 
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.

                                        Estimated Annualized Burden Table
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
             Forms                   Type of         Number of     responses per     hours per     Total burden
                                   respondent       respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
Civil Rights Complaint Form...  Individuals or              3493               1           45/60            2620
                                 households, Not-
                                 for-profit
                                 institutions.
Health Information Privacy      Individuals or            10,286               1           45/60            7715
 Complaint Form.                 households, Not-
                                 for-profit
                                 institutions.
                               ---------------------------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          10,335
----------------------------------------------------------------------------------------------------------------


Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2015-32551 Filed 12-24-15; 8:45 am]
 BILLING CODE 4153-01-P

80778 Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices Offices and State Medicaid Managed develop, acquire, install and utilize data sources; to complete and review Care Organizations (MCOs). technology and systems for the purpose the collection of information; and to Burden Statement: Burden in this of collecting, validating and verifying transmit or otherwise disclose the context means the time expended by information, processing and information. The total annual burden persons to generate, maintain, retain, maintaining information, and disclosing hours estimated for this Information disclose or provide the information and providing information; to train Collection Request are summarized in requested. This includes the time personnel and to be able to respond to the table below. needed to review instructions; to a collection of information; to search TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Average burden per Number of Number of responses Form name Total responses response Total burden hours respondents per respondent (in hours) SCDTDP Data form ...... 4 Range:16–80 ............... Range:64–320 ............. Range:4–6 ................... Range:256–1920 Total ....................... 4 Range:16–80 ............... Range:64–320 ............. Range:4–6 ................... Range:256–1920. HRSA specifically requests comments ACTION: Notice. information, please include the OMB on (1) The necessity and utility of the control number 0945–0002 for proposed information collection for the SUMMARY: In compliance with section reference. proper performance of the agency’s 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Office of the Proposed Project: Complaint Forms functions, (2) the accuracy of the Secretary (OS), Department of Health for Discrimination; Health Information estimated burden, (3) ways to enhance and Human Services, has submitted an Privacy Complaints OMB No. 0945– the quality, utility, and clarity of the information to be collected, and (4) the Information Collection Request (ICR), 0002—Extension—Office of Civil Rights use of automated collection techniques described below, to the Office of Abstract: The Office for Civil Rights is or other forms of information Management and Budget (OMB) for seeking an extension on an approval for technology to minimize the information review and approval. The ICR is for a 3-year clearance on a previous collection burden. renewal of the approved information collection. Individuals may file written collection assigned OMB control Jackie Painter, complaints with the Office for Civil number 0945–0002, scheduled to expire Rights when they believe they have Director, Division of the Executive Secretariat. on December 31, 2015. Comments submitted during the first public review been discriminated against by programs [FR Doc. 2015–32549 Filed 12–24–15; 8:45 am] of this ICR will be provided to OMB. or entities that receive Federal financial BILLING CODE 4165–15–P OMB will accept further comments from assistance from the Health and Human the public on this ICR during the review Service or if they believe that their right DEPARTMENT OF HEALTH AND and approval period. to the privacy of protected health HUMAN SERVICES DATES: Comments on the ICR must be information has been violated. Annual received on or before January 27, 2016. Number of Respondents frequency of Office of the Secretary ADDRESSES: Submit your comments to submission is record keeping and [Document Identifier HHS–OS–0945–0002– OIRA_submission@omb.eop.gov or via reporting on occasion. 30D] facsimile to (202) 395–5806. FOR FURTHER INFORMATION CONTACT: Agency Information Collection Information Collection Clearance staff, Activities; Submission to OMB for Information.CollectionClearance@ Review and Approval; Public Comment hhs.gov or (202) 690–6162. Request SUPPLEMENTARY INFORMATION: When AGENCY: Office of the Secretary, HHS. submitting comments or requesting ESTIMATED ANNUALIZED BURDEN TABLE Number of Average Number of Total burden Forms Type of respondent responses per burden hours respondents hours respondent per response Civil Rights Complaint Form ............. Individuals or households, Not-for- 3493 1 45/60 2620 profit institutions. Health Information Privacy Com- Individuals or households, Not-for- 10,286 1 45/60 7715 plaint Form. profit institutions. Total ........................................... ........................................................... ........................ ........................ ........................ 10,335 mstockstill on DSK4VPTVN1PROD with NOTICES Terry S. Clark, Asst Information Collection Clearance Officer. [FR Doc. 2015–32551 Filed 12–24–15; 8:45 am] BILLING CODE 4153–01–P VerDate Sep<11>2014 13:31 Dec 24, 2015 Jkt 238001 PO 00000 Frm 00034 Fmt 4703 Sfmt 9990 E:\FR\FM\28DEN1.SGM 28DEN1


Document Created: 2018-03-02 09:23:42
Document Modified: 2018-03-02 09:23:42
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on the ICR must be received on or before January 27, 2016.
ContactInformation Collection Clearance staff, [email protected] or (202) 690-6162.
FR Citation80 FR 80778 
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