[Federal Register Volume 68, Number 48 (Wednesday, March 12, 2003)]
[Notices]
[Page 11861]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-5904]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Agency Information Collection Activities: Submission for OMB 
Review; 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, 
Department of Health and Human Services, is publishing the following 
summary of proposed collections 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.
    Type of Information Collection Request: New.
    Title of Information Collection: Office for Civil Rights Complaint 
Forms.
    Form No.: OS-OCR Complaint Forms (OMB 0938--Newcc).
    Use: Under these authorities, individuals may file written 
complaints with OCR when they believe they have been discriminated 
against or if they believe that on or after April 14, 2003, their right 
to the privacy of protected health information has been violated. OCR 
has developed two complaint forms--one for civil rights discrimination 
complaints and one for complaints alleging violation of the privacy of 
protected health information. The use of these forms will be voluntary; 
complaints may be submitted via other means such as letter or e-mail. 
The Office for Civil Rights (OCR) is responsible for enforcing Title VI 
of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act 
of 1973, the Age Discrimination Act of 1975 and other statutes which 
prohibit discrimination by programs or entities that receive Federal 
financial assistance from HHS. Additionally, OCR has jurisdiction over 
Federally-conducted programs in cases involving disability-based 
discrimination under section 504 of the Rehabilitation Act, over State 
and local public entities in cases involving disability-based 
discrimination under Title II of the Americans with Disabilities Act 
and, effective April 14, 2003, over certain health plans, health 
clearinghouses and health care providers with respect to enforcement of 
the standards for privacy of individually identifiable health 
information rule issued pursuant to the Health Insurance Portability 
and Accountability Act (HIPAA).
    Frequency: On occasion.
    Affected Public: Individuals.
    Number of Respondents: 23,800 (2,100 discrimination/21,700 medical 
privacy).
    Total Annual Responses: 23,800.
    Total Annual Hours: 16,275.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, call the OS 
Reports Clearance Office at (202) 619-2118 or e-mail 
[email protected].
    Written comments and recommendations for the proposed information 
collections must be mailed within 30 days of this notice directly to 
the OMB desk officer: OMB Human Resources and Housing Branch, 
Attention: Allison Eydt (OS/OCR Complaint Forms), New Executive Office 
Building, Room 10235, Washington, DC 20503.

    Dated: March 5, 2003.
Robert E. Polson,
Reports Clearance Officer, Office of the Secretary, Department of 
Health and Human Services,
[FR Doc. 03-5904 Filed 3-11-03; 8:45 am]
BILLING CODE 4153-01-M