[Federal Register Volume 74, Number 207 (Wednesday, October 28, 2009)]
[Notices]
[Pages 55555-55556]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-25936]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-0937-0166; 30-day notice]


Agency Information Collection Request. 30-Day Public 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.
    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) 690-5683. Send written comments and 
recommendations for the proposed information collections within 30 days 
of this notice directly to the OS OMB Desk Officer; faxed to OMB at 
202-395-5806.
    Proposed Project: HHS 42 CFR part 50, subpart B; Sterilization of 
Persons in Federally Assisted Family Planning Projects--OMB No. 0937-
0166- Revision-Office of Population Affairs--Office of Family Planning.
    Abstract: This is a request for revision of a currently approved 
collection for the disclosure and record-keeping requirements codified 
at 42 CFR part 50, subpart B (``Sterilization of Persons in Federally 
Assisted Family Planning Projects''). The consent form solicits 
information to assure voluntary and informed consent to persons 
undergoing sterilization in programs of health services which are 
supported by Federal financial assistance administered by the Public 
Health Service (PHS). The form provides additional procedural 
protections to individuals undergoing sterilization. In order to obtain 
informed consent, the regulation requires that programs use either the 
form that is appended to the PHS regulation or another consent form 
approved by the Secretary.
    In 2003, the sterilization consent form was revised to conform to 
OMB government-wide standards for the collection of race/ethnicity data 
and to incorporate the PRA burden statement as part of the consent 
form. The current form has been updated to conform to the changed name 
of a federal entitlement program. The program, Aid to Families with 
Dependent Children (AFDC), utilized by low-income families with 
dependent children who need federal assistance, has been replaced by a 
different program with similar aims, Temporary Assistance for Needy 
Families (TANF). Consequently, the reference to AFDC in the first 
paragraph has been replaced with a reference to TANF.

                                        Estimated Annualized Burden Table
----------------------------------------------------------------------------------------------------------------
                                                                     Number of        Average
      Type of respondent            Form name        Number of     responses per    burden per      Total hours
                                                    respondents     respondent       response
----------------------------------------------------------------------------------------------------------------
Citizens Seeking Sterilization  Information              100,000               1               1         100,000
                                 Disclosure for
                                 Sterilization
                                 Consent Form.
Citizens Seeking Sterilization  Record-keeping           100,000               1           15/60          25,000
                                 for
                                 Sterilization
                                 Consent Form.
                               ---------------------------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............         125,000
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[[Page 55556]]

Seleda Perryman,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. E9-25936 Filed 10-27-09; 8:45 am]
BILLING CODE 4150-34-P