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-0990-0208]

*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:*                     Regular Clearance, Extension of a currently approved collection;                

*Title of Information Collection:*                     Applicant Background Survey;                

*Form/OMB No.:*                     OS-0990-0208;                

*Use:*                     This form will be used to ask applicants for employment, how they learned about a vacancy to ensure that recruitment sources yield qualified women and minority applicants, as well as applicants with disabilities, in compliance with EEOC management directives;                

*Frequency:*                     Reporting;                

*Affected Public:*                     Individuals or households;                

*Annual Number of Respondents:*                     30,000.00;                

*Total Annual Responses:*                     30,000.00;                

*Average Burden Per Response:*                     1/2 hour;                          ( print page 62120)    

*Total Annual Hours:*                     1,000;                

                    To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access the HHS Web site address at                     *http://www.hhs.gov/​oirm/​infocollect/​pending/​*                     or e-mail your request, including your address, phone number, OMB number, and OS document identifier, to                     *naomi.cook@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 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 Budget, Technology, and Finance, Office of Information and Resource Management, Attention: Naomi Cook (0990-0208), Room 531-H, 200 Independence Avenue, SW., Washington DC 20201.                

Dated: October 19, 2005.

Robert E. Polson,

Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer.

[FR Doc. 05-21515 Filed 10-27-05; 8:45 am]

BILLING CODE 4153-17-P