[Federal Register Volume 75, Number 147 (Monday, August 2, 2010)]
[Notices]
[Page 45118]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-18794]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier OS-0990-0317; 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-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. The 
revision to this currently approved clearance is the addition of the 
Trafficking Victims Protection Act of 2000 (Section 106), as amended 
(22 U.S.C. 7104(g) to the certifications.

                                        Estimated Annualized Burden Table
----------------------------------------------------------------------------------------------------------------
                                                                                    Avg. burden
                      Forms                          Number of     Response per    per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
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Program Narrative, Checklist, & Project Abstract           7,338               1               4          29,373
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 Clearance Officer.
[FR Doc. 2010-18794 Filed 7-30-10; 8:45 am]
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