[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]
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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 [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: 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
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Number of Average burden
Forms Type of respondent Number of responses per (in hours) per Total burden
respondents respondent response hours
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Medicare Certification.......................... Health care providers............. 2,900 1 8 23,200
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[[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