[Federal Register Volume 74, Number 144 (Wednesday, July 29, 2009)]
[Notices]
[Pages 37711-37712]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-18014]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-0990-0269; 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#54073c3126312020317a32213a3a373b383139353a143c3c277a333b22"><span class="__cf_email__" data-cfemail="2a79424f584f5e5e4f044c5f44444945464f474b446a424259044d455c">[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: 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
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                                                                                                          Number of      Average burden
                      Forms                               Type of  respondent            Number of      responses per      hours per       Total burden
                                                                                        respondents       respondent        response          hours
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Civil Rights Complaint Form.....................  Individuals or households, Not-for-            3037                1            45/60             2278
                                                   profit institutions.
Health Information Privacy Complaint Form.......  Individuals or households, Not-for-            8944                1            45/60             6708
                                                   profit institutions.
                                                 -------------------------------------------------------------------------------------------------------
    Total.......................................  ..................................  ...............  ...............  ...............             8986
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[[Page 37712]]

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


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