[Federal Register Volume 75, Number 213 (Thursday, November 4, 2010)]
[Notices]
[Pages 67975-67976]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-27838]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier OS-0990-0243; 30-Day Notice]


Agency Information Collection Request; 30-Day Public 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.
    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 <a href="/cdn-cgi/l/email-protection#1c4f74796e79686879327a6972727f737079717d725c74746f327b736a"><span class="__cf_email__" data-cfemail="47142f223522333322692132292924282b222a2629072f2f3469202831">[email protected]</span></a>, 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
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                          Number of     Average  burden
                      Forms                               Type of respondent             Number of      responses per    (in hours) per    Total burden
                                                                                        respondents       respondent        response          hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Medicare Certification..........................  Health care providers.............           2,900                1                8           23,200
--------------------------------------------------------------------------------------------------------------------------------------------------------



[[Page 67976]]

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


</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>