[Federal Register Volume 72, Number 84 (Wednesday, May 2, 2007)]
[Notices]
[Page 24312]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-8324]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: OS-0990-0243; 30-day notice]


Agency Information Collection Activities: Proposed Collection; 
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 (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.
    Type of Information Collection Request: Extension.
    Title of Information Collection: OCR Pre-grant Data Request Form.
    Form/OMB No.: OS-0990-0243.
    Use: The form is designed to collect data from health care 
providers who have requested certification to participate in the 
Medicare program. This civil rights compliance determination is an 
essential component of HHS' decision to grant or deny certification and 
must be made prior to the Department's final notification of its 
decision to the provider.
    Frequency: Recordkeeping single time.
    Affected Public: Business or other for-profit.
    Annual Number of Respondents: 3,500.
    Total Annual Responses: 3,500.
    Average Burden per Response: 15 hours.
    Total Annual Hours: 52,500.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, 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 30 days of this notice directly to the Desk Officer at 
the address below: OMB Desk Officer: John Kraemer, OMB Human Resources 
and Housing Branch, Attention: (OMB 0990-0243), New Executive 
Office Building, Room 10235, Washington, DC 20503.

    Dated: April 20, 2007.
Alice Bettencourt,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
 [FR Doc. E7-8324 Filed 5-1-07; 8:45 am]
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