[Federal Register Volume 77, Number 141 (Monday, July 23, 2012)]
[Notices]
[Page 43086]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-17790]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier OS-0937-0166]


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 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, email 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 email 
address within 60 days.
    Proposed Project: Title: HHS 42 CFR subpart B; Sterilization of 
Persons in Federally Assisted Family Planning Projects--OMB No. 0937-
0166--Extension--OPHS, Office of Population Affairs--Office of Family 
Planning.
    Abstract: This is a request for extension 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 PHS. It 
provides additional procedural protection to the individual and the 
regulation requires that the consent form be a copy of the form that is 
appended to the PHS regulation. In 2003, the PHS 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. There are no revisions to the 
form.

                                                            Estimated Annualized Burden Table
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                                                                                                          Number of     Average  burden
              Forms (if necessary)                        Type of respondent             Number of      responses per      hours per       Total burden
                                                                                        respondents       respondent        response          hours
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100,000.........................................  citizen seeking sterilization.....         100,000                1            15/60           25,000
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Keith A. Tucker,
Paperwork Reduction Act Reports Clearance Officer, Office of the 
Secretary.
[FR Doc. 2012-17790 Filed 7-20-12; 8:45 am]
BILLING CODE 4150-34-P