[Federal Register Volume 59, Number 43 (Friday, March 4, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-4978]


[[Page Unknown]]

[Federal Register: March 4, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service

 

Agency Forms Submitted to the Office of Management and Budget for 
Clearance

    Each Friday the Public Health Service (PHS) publishes a list of 
information collection requests it has submitted to the Office of 
Management and Budget (OMB) for clearance in compliance with the 
Paperwork Reduction Act (44 U.S.C. chapter 35). The following requests 
have been submitted to OMB since the list was last published on Friday, 
February 4, 1994.

(Call PHS Reports Clearance Officer on 202-690-7100 for copies of 
requests).

    1. Black Lung Clinic Program (42 CFR 55a) and Program Guidelines--
0915-0081 (Extension)--The Health Resources and Services Administration 
uses the application information to determine applicants' eligibility 
for awards. The grantees are required to maintain patient treatment 
plans and a register of patients to ensure quality medical care. 
Respondents: State or local governments; Non-profit institutions: 
Number of Respondents: 14; Number of Responses per Respondent: 1; 
Average Burden per Recordkeeper: 3,000 hours; Estimated Annual Burden: 
42,000 hours.
    2. Special Volunteer and Guest Research Assignment--0925-0177 
(Extension)--Form NIH-590 records names, address, employer, education, 
and other information on prospective Special Volunteers and Guest 
Researchers, and is used by the responsible National Institutes of 
Health approving official to determine the individual's qualifications 
and eligibility for such assignments. The form is the only official 
record of approved assignments. Respondents: Individuals or households; 
Number of Respondents: 1,000; Number of Responses per Respondent: 1; 
Average Burden per Response: .08 hour; Estimated Annual Burden: 80 
hours.
    3. Ethics and Human Genetics: A Survey of Approaches in the United 
States of America--New--This survey will be valuable in establishing 
research priorities in prevention and treatment of mental retardation, 
in developing training programs for professionals, and in developing 
guidelines and policy options for the orderly introduction of 
information generated by human genome research into biomedical 
practices. Participants include geneticists, physicians, and the 
public. Respondents: Individuals or households; Businesses or other 
for-profit; Small businesses or organizations; Number of Respondents: 
2,901; Number of Responses per Respondent: 1; Average Burden per 
Response: 0.712; Estimated Annual Burden: 2,065 hours.
    4. Evaluation of the HHS Access to Community Care and Effective 
Services and Supports (ACCESS) Program--0930-0164 (Revision)--The 
Center for Mental Health Services, Substance Abuse and Mental Health 
Services Administration, is requesting clearance for an evaluation 
study that will assess services integration (SI) approaches for 
homeless persons with severe mental illnesses. SI sites will be 
contrasted with comparison sites to assess the impact of SI. Case 
studies will describe approaches to SI processes by which SI takes 
place and factors that influence SI. Respondents: Individuals or 
households; State or local governments; businesses or other for-profit; 
Federal agencies or employees; non-profit institutions; small 
businesses or organizations.

----------------------------------------------------------------------------------------------------------------
                                                              No. of      No. of responses   Average burden per 
                         Title                             respondents     per respondent         response      
----------------------------------------------------------------------------------------------------------------
Clients................................................            7,200                .7  .93 hours.          
Service Providers......................................            1,935              14    .15 hours.          
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden--8,799 hours.                                                                     
                                                                                                                


    5. Requests for Public Health Assessments--42 CFR part 90--0923-
0002--(Extension)--This information collection provides a mechanism for 
the public to request that a public health assessment(s) be conducted 
by the Agency for Toxic Substances and Disease Registry at a site/
location where there may be concerns that exposure to hazardous 
substances may be an issue. Respondents: Individuals or households, 
State or local governments, businesses or other for-profit, non-profit 
institutions, small businesses or organizations; Number of Respondents: 
60; Number of Responses per Respondent: 1; Average Burden per Response: 
.5 hours; Estimated Annual Burden: 30 hours.
    6. Tissue Bank Survey--New--This survey is designed to assess 
public health benefits, evaluate agency resource needs, and consider 
industry and consumer impact of federal regulation. Information is 
required about current practices, number, resources, and size of 
operations of tissue banks processing bone for therapeutic use. 
Respondents: Non-profit institutions; Number of Respondents: 199; 
Number of Responses per Respondent: 1; Average Burden per Response: 2.6 
hours; Estimated Annual Burden: 510 hours.
    7. Congenital Syphilis Case Investigation and Reporting Form--0920-
0128 (Extension-No Change) This data collection will provide a 
surveillance system for congenital syphilis (CS). The data will be used 
to monitor levels of disease, develop intervention strategies and 
evaluate ongoing efforts. Respondents: State or local governments; 
Number of Respondents: 65; Number of Responses per Respondent: 54; 
Average Burden per Response: .25 hours; Estimated Annual Burden: 875 
hours.
    8. Health Education Assistance Loan (HEAL) Program Forms--0915-0034 
(Revision)--The forms are needed for lenders to make application to the 
health insurance program, to report accurately and timely on loan 
actions, including transfer of loans to a secondary agent, and to 
establish the repayment status of borrowers. This request is for 
revision of the Borrowers Status Form. Respondents: Individuals or 
household; businesses or other for-profit; non-profit institutions.

------------------------------------------------------------------------
                           No. of      No. of responses   Average burden
        Title           respondents     per respondent     per response 
------------------------------------------------------------------------
Lender Application                                                      
 HRSA Form 504......               66               1         8 minutes.
Leinder's Manifest                                                      
 HRSA Form 505......               31             141         5 minutes.
Loan Transfer                                                           
 Statement HRSA Form                                                    
 507................               66             123        10 minutes.
Borrower Status HRSA                                                    
 Form 508 (Borrower)           10,582               1        10 minutes.
Borrower Status HRSA                                                    
 Form 508 (Employer)            6,560               1.6       5 minutes.
------------------------------------------------------------------------
Estimated Total Annual Burden--4,368 hours.                             
                                                                        

    Written comments and recommendations concerning the proposed 
information collections should be sent within 30 days of this notice 
directly to the OMB Desk Officer designated below at the following 
address:
    Shannah Koss, Human Resources and Housing Branch, New Executive 
Office Building, room 3002, Washington, DC 20503.

    Dated: February 28, 1994.
James Scanlon,
Director, Division of Data Policy, Office of Health Planning and 
Evaluation.
[FR Doc. 94-4978 Filed 3-3-94; 8:45 am]
BILLING CODE 4160-17-M