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 [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. 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) 690-5683. Send written comments and recommendations for the proposed information collections within 30 days of this notice directly to the OS OMB Desk Officer; faxed to OMB at 202-395-5806. *Proposed Project:*
                         The Civil Rights Information Request Form—OMB No. 0990-0243—Reinstatement without Change—Office for Civil Rights (OCR). *Abstract:*
                         The Office of Civil Rights (OCR) is requesting a 3-year extension of the Civil Rights Information Request Form. The Civil Rights Information Request Form is designed to collect data from health care providers who have requested certification to participate in the Medicare Part A program. As part of the Medicare certification process, health care facilities must receive a civil rights clearance from the OCR. The information is used to determine compliance with civil rights statutes and regulations. The civil rights information is requested only when a health care provider applies for Medicare Part A certification; it is 
                        *not*
                         necessary on a regular yearly basis. Entities that are affected by the Civil Rights Information Request Form are: Health care providers applying for Medicare certification, and individuals who, as a result of civil rights clearances, should be granted equal access to quality health care, regardless of race, color, national origin, disability, and age. Estimated Annualized Burden Table
Forms
Type of respondent
Number of 
                             respondents
Number of 
                             responses per respondent
Average 
                             burden (in hours) per 
                             response
Total burden hoursMedicare Certification
Health care providers
2,900
1
8
23,200
 Seleda Perryman, Office of the Secretary, Paperwork Reduction Act Clearance Officer.


[FR Doc. 2010-27838 Filed 11-3-10; 8:45 am] BILLING CODE 4153-01-P