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-0990-0269; 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:*
                         Complaint Forms for Discrimination; Health Information Privacy Complaints OMB No. 0990-0269 —Extension—Office of Civil Rights. *Abstract:*
                         The Office for Civil Rights is seeking approval for a 3 year clearance on a previous collection. Individuals may file written complaints with the Office for Civil Rights when they believe they have been discriminated against by programs or entities that receive Federal financial assistance from the Health and Human Service or if they believe that their right to the privacy of protected health information has been violated. Annual Number of Respondents frequency of submission is record keeping and reporting on occasion. Estimated Annualized Burden Table
Forms
Type of 
                             respondent
Number of
                             respondents
Number of
                             responses per 
                             respondent
Average
                             burden hours 
                             per response
Total burden 
                             hoursCivil Rights Complaint Form
Individuals or households, Not-for-profit institutions
3037
1
45/60
2278Health Information Privacy Complaint Form
Individuals or households, Not-for-profit institutions
8944
1
45/60
6708Total




8986
 Seleda Perryman, Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer.


[FR Doc. E9-18014 Filed 7-28-09; 8:45 am] BILLING CODE 4153-01-P