[Federal Register Volume 75, Number 147 (Monday, August 2, 2010)]
[Notices]
[Page 45118]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-18794]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Document Identifier OS-0990-0317; 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 [email protected], 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: HHS-5161-1 form--Revision--OMB No. 0990-0317--The
Office of the Secretary (OS).
Abstract: HHS is requesting clearance for the Checklist and Program
Narrative & the Public Health System Impact Statement (PHSIS), used by
several former PHS agencies within HHS; CDC 0.1113 supplemental forms
used exclusively by CDC; a supplement form used exclusively by
Substance Abuse Mental Health Services Administration (SAMHSA), and the
Single Source Agency (SSA) notification form, as well as continued use
of the project abstract form. In addition, HHS will continue to include
the use of the 5161-1 form for several emergency acts and funding. The
revision to this currently approved clearance is the addition of the
Trafficking Victims Protection Act of 2000 (Section 106), as amended
(22 U.S.C. 7104(g) to the certifications.
Estimated Annualized Burden Table
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Avg. burden
Forms Number of Response per per response Total burden
respondents respondent (in hours) (in hours)
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Program Narrative, Checklist, & Project Abstract 7,338 1 4 29,373
Program Narrative, Checklist, & Project 59 6 24 8,496
Narrative (CDC)................................
Program Narrative, Checklist, & Project 59 1 50 2,950
Narrative (HRSA)...............................
CDC Form 0.1113................................. 1,000 1 30/60 500
Public Health Impact Statement (PHSIS).......... 2,845 2.5 10/60 1,185
SSA (SAMHSA).................................... 1,125 1 10/60 187
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Total....................................... .............. .............. .............. 42,691
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Seleda Perryman,
Office of the Secretary, Paperwork Reduction Act Clearance Officer.
[FR Doc. 2010-18794 Filed 7-30-10; 8:45 am]
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