Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

                    See the                                          Document Drafting Handbook                                        for more details.                  

###### Department of Health and Human Services

###### Office of the Secretary 

          - [Document Identifier: OS-0990-0243; 30-day notice] 

# 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 for-profit.                 

*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 #0990-0243), 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