[Federal Register Volume 69, Number 84 (Friday, April 30, 2004)]
[Notices]
[Page 23797]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-9803]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget, in compliance with the 
Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35). To request a 
copy of the clearance requests submitted to OMB for review, call the 
HRSA Reports Clearance Office on (301) 443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

Proposed Project: The Smallpox Vaccine Injury Compensation Program (OMB 
No. 0915-0282)--Extension

    The Smallpox Emergency Personnel Protection Act (SEPPA) authorized 
the Secretary of Health and Human Services to establish The Smallpox 
Vaccine Injury Compensation Program, which is designed to provide 
benefits and/or compensation to certain persons harmed as a direct 
result of receiving smallpox covered countermeasures, including the 
smallpox vaccine, or as a direct result of contracting vaccinia through 
certain accidental exposures.
    The benefits available under the Program include compensation for 
medical care, lost employment income, and survivor death benefits. To 
be considered for Program benefits, requesters (i.e., smallpox vaccine 
recipients, vaccinia contacts, survivors, or the representatives of the 
estates of deceased smallpox vaccine recipients or vaccinia contacts), 
or persons filing on their behalf as their representatives, must file a 
Request Form and the documentation required under this regulation to 
show that they are eligible.
    Requesters must submit appropriate documentation to allow the 
Secretary to determine if the requesters are eligible for Program 
benefits. This documentation will vary somewhat depending on whether 
the requester is filing as a smallpox vaccine recipient, a vaccinia 
contact, a survivor, or a representative of an estate.
    All requesters must submit medical records sufficient to 
demonstrate that a covered injury was sustained by a smallpox vaccine 
recipient or a vaccinia contact.
    The burden estimate is as follows:

----------------------------------------------------------------------------------------------------------------
                                          Number of        Responses per                          Total burden
                Form                     respondents         respondent      Hourly response         hours
----------------------------------------------------------------------------------------------------------------
Request Form........................              1,250                  1                  5              6,250
Certification.......................              1,250                  1                  1              1,250
                                     --------------------
    Total...........................              2,500  .................  .................              7,500
----------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to: 
Desk Officer, Health Resources and Services Administration, Human 
Resources and Housing Branch, Office of Management and Budget, New 
Executive Office Building, Room 10235, Washington, DC 20503.

    Dated: April 23, 2004.
Tina M. Cheatham,
Director, Division of Policy Review and Coordination.
[FR Doc. 04-9803 Filed 4-29-04; 8:45 am]
BILLING CODE 4165-15-P