[Federal Register Volume 75, Number 80 (Tuesday, April 27, 2010)]
[Notices]
[Pages 22135-22136]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-9656]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-0990-0317]


Agency Information Collection Request: 60-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 information collection request 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

[[Page 22136]]

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) 690-6162. Written comments and 
recommendations for the proposed information collections must be 
directed to the OS Paperwork Clearance Officer at the above e-mail 
address within 60 days.
    Proposed Project: HHS-5161-1 form--Revision--OMB No. 0990-0317--The 
Office of the Secretary (OS).
    Abstract: HHS is requesting clearance for the Checklist and Program 
Narrative & the Public Health System Impact Statement (PHSIS), used by 
several former PHS agencies within HHS; CDC 0.1113 supplemental forms 
used exclusively by CDC; a supplement form used exclusively by 
Substance Abuse Mental Health Services Administration (SAMHSA), and the 
Single Source Agency (SSA) notification form, as well as continued use 
of the project abstract form. In addition, HHS will continue to include 
the use of the 5161-1 form for several emergency acts and funding that 
were the result of the September 11th attack on the World Trade Center. 
Specifically, the Public Health Preparedness for Response to 
Bioterrorism (Emergency Supplement) (CDC), the Bioterrorism Hospital 
Preparedness Program cooperative agreement (HRSA), and 2 emergency 
response grants from (SAMHSA). The only change requested is the 
addition of the ``Trafficking Victims Protection Act of 2000 (Section 
106), as amended (22 U.S.C. 7104(g).

                                        Estimated Annualized Burden Table
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                                                                                    Avg. burden
                     Forms                          Number of      Response per    per response    Total burden
                                                   respondents     respondents      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
Program Narrative, Checklist, & Project                   7,338              1                 4          29,373
 Abstract......................................
Program Narrative, Checklist & Project                       59              6                24           8,496
 Narrative (CDC)...............................
Program Narrative, Checklist, & Project                      59              1                50           2,950
 Narrative (HRSA)..............................
CDC Form 0.1113................................           1,000              1             30/60             500
Public Health Impact Statement (PHSIS).........           2,845              2.5           10/60           1,185
                                                ----------------------------------------------------------------
SSA (SAMHSA)...................................           1,125              1             10/60             187
    Total......................................  ..............  ...............  ..............          42,691
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Seleda Perryman,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. 2010-9656 Filed 4-26-10; 8:45 am]
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