[Federal Register Volume 59, Number 116 (Friday, June 17, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-14795]


[[Page Unknown]]

[Federal Register: June 17, 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, 
May 27, 1994.

(Call PHS Reports Clearance Officer on 202-690-7100 for copies of 
request).
    1. Pretest of Screener/Baseline Round for the Household Component 
of the National Medical Expenditure Survey (NMES)--New--This request 
involves the pretest of the Screener/Baseline round of a household 
survey that will collect medical use, medical expenditures and health 
insurance coverage in subsequent rounds. The State-based pretest sample 
will be used to produce State estimates. Respondents: Individuals or 
households; Number of Respondents: 19,821; Number of Responses per 
Respondent: 1; Average Burden per Response: 0.45 hour; Estimated Annual 
Burden: 8,912 hours.
    2. National Survey of Family Growth, Cycle V--0920-0314 
(Revision)--The survey provides data on childbearing, family formation 
(including, adoption), and maternal and child health. The data are used 
by the Office of Population Affairs, the National Institute of Child 
Health and Human Development, the Centers for Disease Control and 
Prevention and other agencies, and are disseminated through written 
reports and public use computer tapes. Respondents: Individuals or 
households; Number of Respondents: 5,250; Number of Respondents: 5,250; 
Number of Responses per Respondent: 1.115; Average Burden per Response: 
1.436 hours; Estimated Annual Burden: 8,410 hours.
    3. The National Survey of Laboratory Animal Use, Facilities, and 
Resources--0925-0350 (New)--The availability of Laboratory animals for 
research is limited, and decisions regarding this scarce resource must 
be made on the basis of accurate, objective information. In addition, 
there is concern regarding the state of the infrastructure for housing 
and using research animals. This survey will gather information that 
was last available in 1978. OMB has previously granted concept approval 
for this survey. Respondents: State or local governments, Businesses or 
other for-profit, Federal agencies or employees, Non-profit 
institutions, Small businesses or organizations; Number of Respondents: 
3,000; Number of Responses per Respondent: 1; Average Burden per 
Responses: 1.4 hours; Estimated Annual Burden: 4,246 hours.
    4. Indian Health Service Hospital Dental and Other Contract Health 
Service Reports--0917-0002 (Extension, no charge)--These forms provide 
a description of the patient's diagnosis, procedures performed, health 
care services provided and fee charged to the Indian Health Service as 
a legal document for health car rendered. Copies of the form are used 
for billing purposes and the provision of the IHS program statistics. 
Respondents: State or local governments, Businesses or other for-
profit, Non-profit institutions, and Small businesses or organizations; 
Number of Respondents: 8,809; Number of Responses per Respondent: 39; 
Average Burden per Response: 0.17 hours; Estimated Annual Burden: 
60,267 hours.
    5. IHS Project Proposal for the Provision of Sanitation Facilities 
(P.L. 86-121)/Technical Assistance--0917-0001 (Reinstatement)--Form 
IHS-62 solicits information from tribes regarding their needs for 
sanitation facilities, their willingness and/or ability to operate and 
maintain the needed sanitation facilities, their ability and 
willingness to contribute funds/labor to the needed sanitation 
facilities, source of outside funding and their desire to develop 
ordinances/regulations dealing with public health. Respondents: 
Individuals or households, State or local government; Number of 
Respondents: 500; Number of Responses per Respondent: 1; Average Burden 
per Response: 1 hour; Estimated Annual Burden: 500 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: June 14, 1993.
James Scanlon,
Director, Division of Data Policy, Office of Health Planning and 
Evaluation.
[FR Doc. 94-14795 Filed 6-16-94; 8:45 am]
BILLING CODE 4160-17-M