[Federal Register Volume 61, Number 20 (Tuesday, January 30, 1996)]
[Notices]
[Page 3040]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-1633]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


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

    The Department of Health and Human Services, Office of the 
Secretary periodically publishes a list of information collections it 
has submitted to the Office of Management and Budget (OMB) for 
clearance in compliance with the Paperwork Reduction Act of 1995 (44 
U.S.C. Chapter 35) and 5 CFR 1320.5. The following are those 
information collections recently submitted to OMB.
    1. Application for Correction of Public Health Service Commissioned 
Corps Records--0937-0095--Reinstatement No Change--An application is 
submitted by present and former PHS Commissioned Corps officers to 
request correction of an error or alleged injustice in their personnel 
records.
    The information submitted is used by the Board for Correction to 
determine if an error or injustice has occurred and to rectify such 
error or injustice.
    Respondents: Individuals; Annual Number of Respondents: 8;
    Average Burden per Response: four hours; Frequency of response: 
single-time; Total Burden: 32 hours.
    2. State Medicaid Fraud Control Units Annual Report and 
Certification Application (42 CFR 1007.15 and 1007.17)--0990-0162--
Reinstatement No Change--The program data required of initial 
applicants to become certified, and the annual reports required for 
recertification are used by the Office of Inspector General to ensure 
that Federal matching funds are only expended for allowable costs. In 
addition, the reports are analyzed to monitor program activities and 
determine whether technical assistance is required.
    Respondents: States; Burden Information for New Applicants--Number 
of Respondents: 2; Frequency of Response: one-time; Burden per 
Response: 112 hours; Burden for New Applicants: 224 hours--Burden 
Information for Recertification--Number of Respondents: 45; Frequency 
of Response: annually; Burden per Response: 56 hours; Burden for 
Recertification: 2520 hours--Total Burden: 2744 hours.
    OMB Desk Officer: Allison Eydt.
    Copies of the information collection packages listed above can be 
obtained by calling the OS Reports Clearance Officer on (202) 619-1053. 
Written comments and recommendations for the proposed information 
collection should be sent directly to the OMB desk officer designated 
above at the following address: Human Resources and Housing Branch, 
Office of Management and Budget, New Executive Office Building, Room 
10235, 725 17th Street NW., Washington, D.C. 20503.

    Dated: January 18, 1996.
Dennis P. Williams,
Deputy Assistant Secretary, Budget.
[FR Doc. 96-1633 Filed 1-29-96; 8:45 am]
BILLING CODE 4150-04-M