[Federal Register Volume 71, Number 23 (Friday, February 3, 2006)]
[Notices]
[Pages 5848-5849]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-1491]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: OS-0990-0269; 60-day notice]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Office of the Secretary.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Office of the Secretary (OS), 
Department of Health and Human Services, is publishing the following 
summary of a proposed collection 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.

[[Page 5849]]

    Type of Information Collection Request: Regular Clearance, 
Extension of a currently approved collection.
    Title of Information Collection: Complaint forms for discrimination 
and health information privacy complaints.
    Form/OMB No.: OS-0990-0269.
    Use: Individuals may file written complaints with the Office for 
Civil Rights when they believe they have been discriminated against by 
programs or entities that receive Federal financial assistance from the 
Health and Human Service or if they believe that their right to the 
privacy of protected health information has been violated.
    Frequency: Recordkeeping, Reporting, on occasion.
    Affected Public: not-for-profit institutions and individuals or 
households.
    Annual Number of Respondents: 12,400.
    Total Annual Responses: 12,400.
    Average Burden Per Response: 45 minutes.
    Total Annual Hours: 9,300.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access the HHS 
Web site address at http://www.hhs.gov/ocio/infocollect/pending/ or e-
mail your request, including your address, phone number, OMB number, 
and OS document identifier, to [email protected], or call the Reports 
Clearance Office on (202) 690-6162. Written comments and 
recommendations for the proposed information collections must be 
received within 60 days, and directed to the OS Paperwork Clearance 
Officer at the following address:
    Department of Health and Human Services, Office of the Secretary, 
Assistant Secretary for Budget, Technology, and Finance, Office of 
Information and Resource Management, Attention: Naomi Cook (0990-0269), 
Room 531-H, 200 Independence Avenue, SW., Washington, DC 20201.

    Dated: January 26, 2006.
Robert E. Polson,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. E6-1491 Filed 2-2-06; 8:45 am]
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