Agency Information Collection Activities: Proposed Collection; Comment Request, 24312 [E7-8323]
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24312
Federal Register / Vol. 72, No. 84 / Wednesday, May 2, 2007 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
[Document Identifier: OS–0990–0000; 60day notice]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
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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.
Type of Information Collection
Request: Transferring existing collection
0920–0428.
Title of Information Collection:
Supplements to the Application for
Federal Assistance SF–424 (HHS 5161–
1).
Form/OMB No.: 0990–0000.
Use: The Checklist, Program
Narrative, and the Public Health System
Impact Statement (third party
notification) (PHSIS) are a part of the
standard application for State and local
governments and for private non-profit
and for-profit organizations when
applying for financial assistance from
PHS grant programs. The Checklist
assists applicants to ensure that they
have included all required information
necessary to process the application.
The Checklist data helps to reduce the
time required to process and review
grant applications, expediting the
issuance of grant awards. The PHSIS
Third Party Notification Form is used to
inform State and local health agencies of
community-based proposals submitted
by non-governmental applicants for
Federal funding.
There may be some revisions made to
one or more of the forms to allow the
respondents easy web-based access.
This should not affect the current
VerDate Mar 15 2010
03:08 Aug 19, 2011
Jkt 223001
burden. There is no cost to the
respondents other than their time. HHS
is transferring the clearance of the 5161–
1 supplements to the SF–424 from CDC
to HHS. HHS is requesting a three-year
clearance. The request for renewal of
this form was originally made in the 60day FRN under OMB number 0920–
0428.
Frequency: Once.
Affected Public: Not-for-profit
institutions and State, Local, or Tribal
Government.
Annual Number of Respondents:
7,457.
Total Annual Responses: 7,457.
Average Burden per Response: 5.725
hours.
Total Annual Hours: 42,691.
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) 690–6162. Written
comments and recommendations for the
proposed information collections must
be received with 60-days, and directed
to the OS Paperwork Clearance Officer
at the following address: Department of
Health and Human Services, Office of
the Secretary, Assistant Secretary for
Resources and Technology, Office of
Resources Management, Attention:
Sherrette Funn-Coleman (0990–NEW),
Room 537–H, 200 Independence
Avenue, SW., Washington, DC 20201.
Dated: April 20, 2007.
Alice Bettencourt,
Office of the Secretary, Paperwork Reduction
Act Reports Clearance Officer.
[FR Doc. E7–8323 Filed 5–1–07; 8:45 am]
BILLING CODE 4150–28–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
[Document Identifier: OS–0990–0243; 30day notice]
Agency Information Collection
Activities: Proposed Collection;
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
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
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.
Type of Information Collection
Request: Extension.
Title of Information Collection: OCR
Pre-grant Data Request Form.
Form/OMB No.: OS–0990–0243.
Use: The form is designed to collect
data from health care providers who
have requested certification to
participate in the Medicare program.
This civil rights compliance
determination is an essential component
of HHS’ decision to grant or deny
certification and must be made prior to
the Department’s final notification of its
decision to the provider.
Frequency: Recordkeeping single
time.
Affected Public: Business or other forprofit.
Annual Number of Respondents:
3,500.
Total Annual Responses: 3,500.
Average Burden per Response: 15
hours.
Total Annual Hours: 52,500.
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)
690–6162. Written comments and
recommendations for the proposed
information collections must be
received within 30 days of this notice
directly to the Desk Officer at the
address below: OMB Desk Officer: John
Kraemer, OMB Human Resources and
Housing Branch, Attention: (OMB
ι0990–0243), New Executive Office
Building, Room 10235, Washington, DC
20503.
Dated: April 20, 2007.
Alice Bettencourt,
Office of the Secretary, Paperwork Reduction
Act Reports Clearance Officer.
[FR Doc. E7–8324 Filed 5–1–07; 8:45 am]
BILLING CODE 4153–01–P
E:\FEDREG\02MYN1.LOC
02MYN1
]]>Agencies
[Federal Register Volume 72, Number 84 (Wednesday, May 2, 2007)]
[Notices]
[Page 24312]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-8323]
[[Page 24312]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
[Document Identifier: OS-0990-0000; 60-day notice]
Agency Information Collection Activities: Proposed Collection;
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.
Type of Information Collection Request: Transferring existing
collection 0920-0428.
Title of Information Collection: Supplements to the Application for
Federal Assistance SF-424 (HHS 5161-1).
Form/OMB No.: 0990-0000.
Use: The Checklist, Program Narrative, and the Public Health System
Impact Statement (third party notification) (PHSIS) are a part of the
standard application for State and local governments and for private
non-profit and for-profit organizations when applying for financial
assistance from PHS grant programs. The Checklist assists applicants to
ensure that they have included all required information necessary to
process the application. The Checklist data helps to reduce the time
required to process and review grant applications, expediting the
issuance of grant awards. The PHSIS Third Party Notification Form is
used to inform State and local health agencies of community-based
proposals submitted by non-governmental applicants for Federal funding.
There may be some revisions made to one or more of the forms to
allow the respondents easy web-based access. This should not affect the
current burden. There is no cost to the respondents other than their
time. HHS is transferring the clearance of the 5161-1 supplements to
the SF-424 from CDC to HHS. HHS is requesting a three-year clearance.
The request for renewal of this form was originally made in the 60-day
FRN under OMB number 0920-0428.
Frequency: Once.
Affected Public: Not-for-profit institutions and State, Local, or
Tribal Government.
Annual Number of Respondents: 7,457.
Total Annual Responses: 7,457.
Average Burden per Response: 5.725 hours.
Total Annual Hours: 42,691.
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) 690-6162. Written comments and
recommendations for the proposed information collections must be
received with 60-days, and directed to the OS Paperwork Clearance
Officer at the following address: Department of Health and Human
Services, Office of the Secretary, Assistant Secretary for Resources
and Technology, Office of Resources Management, Attention: Sherrette
Funn-Coleman (0990-NEW), Room 537-H, 200 Independence Avenue, SW.,
Washington, DC 20201.
Dated: April 20, 2007.
Alice Bettencourt,
Office of the Secretary, Paperwork Reduction Act Reports Clearance
Officer.
[FR Doc. E7-8323 Filed 5-1-07; 8:45 am]
BILLING CODE 4150-28-P
