60-day FRN



[Federal Register Volume 80, Number 127 (Thursday, July 2, 2015)]
[Notices]
[Pages 38217-38218]
From the Federal Register Online via the Government Publishing Office [http://www.gpo.gov/]
[FR Doc No: 2015-16256]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: HHS-OS-0937-0166-60D]

Agency Information Collection Activities; Proposed Collection;
Public Comment Request

AGENCY: Office of Population Affairs, Office of the Assistant Secretary
for Health, HHS.

ACTION: Notice.

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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the Office of the Secretary (OS), Department of
Health and Human Services, announces plans to submit an Information
Collection Request (ICR), described below, to the Office of Management
and Budget (OMB). The ICR is for extending the use of the approved
information collection assigned OMB control number 0937-0166, which
expires on October 31, 2015. Prior to submitting the ICR to OMB, OS
seeks comments from the public regarding the burden estimate, below, or
any other aspect of the ICR.

DATES: Comments on the ICR must be received on or before August 31,
2015.

ADDRESSES: Submit your comments to
Information.CollectionClearance@hhs.gov or by calling (202) 690-6162.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance
staff, Information.CollectionClearance@hhs.gov or (202) 690-6162.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the document identifier HHS-OS-0937-0166-
60D for reference.
Information Collection Request Title: HHS 42 CFR part 50, subpart
B; Sterilization of Persons in Federally Assisted Family Planning
Projects--OMB No. 0937-0166-Extension--OASH, Office of Population
Affairs--Office of Family Planning

[[Page 38218]]

Abstract: This is a request for extension of a currently approved
collection for the disclosure and record-keeping requirements codified
at 42 CFR part 50, subpart B (``Sterilization of Persons in Federally
Assisted Family Planning Projects''). The consent form solicits
information to assure voluntary and informed consent to persons
undergoing sterilization in programs of health services which are
supported by federal financial assistance administered by the Public
Health Service (PHS). Consent forms are signed by individuals
undergoing a federally funded sterilization procedure and certified by
necessary medical authorities. Forms are incorporated into the
patient's medical records and the agency's records. Through periodic
site audits and visits, PHS staff review completed consent forms to
determine compliance with the regulation. Thus, the purpose of the
consent form is twofold. First, it serves as a mechanism to ensure that
a person receives information about sterilization and voluntarily
consents to the procedure. Second, it facilitates compliance
monitoring. The Sterilization Consent Form has been revised to reflect
a new expiration date on the Required Consent Form. There are no other
revisions to the form.
Likely Respondents: Interested persons who desire to send comments
regarding this burden estimate or any other aspect of this collection
of information that OS specifically requests comments.

Total Estimated Annualized Burden--Hours
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Number of
Type of respondent Information Number of responses per Average burden Total hours
collection respondents respondent per response
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Citizens Seeking Sterilization Information 100,000 1 1 100,000
Disclosure for
Sterilization
Consent Form.
Citizens Seeking Sterilization Record-keeping 100,000 1 15/60 25,000
for
Sterilization
Consent Form.
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Total..................... ................ .............. .............. .............. 125,000
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OS specifically requests comments on (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.

Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2015-16256 Filed 7-1-15; 8:45 am]
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