Agency Information Collection Activities; Submission to OMB for Review and Approval; Public Comment Request, 80778 [2015-32551]

Download as PDF 80778 Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices 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 Offices and State Medicaid Managed Care Organizations (MCOs). 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 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 Information Collection Request are summarized in the table below. TOTAL ESTIMATED ANNUALIZED BURDEN HOURS Number of responses per respondent Number of respondents Form name Total responses Average burden per response (in hours) Total burden 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 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. Jackie Painter, Director, Division of the Executive Secretariat. [FR Doc. 2015–32549 Filed 12–24–15; 8:45 am] BILLING CODE 4165–15–P 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: 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. Notice. 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 OIRA_submission@omb.eop.gov or via facsimile to (202) 395–5806. FOR FURTHER INFORMATION CONTACT: Information Collection Clearance staff, Information.CollectionClearance@ hhs.gov or (202) 690–6162. SUPPLEMENTARY INFORMATION: When submitting comments or requesting SUMMARY: ESTIMATED ANNUALIZED BURDEN TABLE Number of respondents Number of responses per respondent Average burden hours per response Total burden hours Forms Type of respondent Civil Rights Complaint Form ............. 3493 1 45/60 2620 Com- Individuals or households, Not-forprofit institutions. Individuals or households, Not-forprofit institutions. 10,286 1 45/60 7715 Total ........................................... ........................................................... ........................ ........................ ........................ 10,335 mstockstill on DSK4VPTVN1PROD with NOTICES Health Information plaint Form. Privacy 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

Agencies

[Federal Register Volume 80, Number 248 (Monday, December 28, 2015)]
[Notices]
[Page 80778]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[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.

-----------------------------------------------------------------------

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 OIRA_submission@omb.eop.gov or via 
facsimile to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance 
staff, Information.CollectionClearance@hhs.gov 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
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