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; 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 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

[Document Identifier: OS–0990–0243; 30- 

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: 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 

mmaher on DSK3CLS3C1PROD with $$_JOB