[Federal Register Volume 77, Number 196 (Wednesday, October 10, 2012)]
[Notices]
[Page 61608]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-24845]



[[Page 61608]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

 [Document Identifier: HHS-OS-17579-30D]


Agency Information Collection Activities; Submission to OMB for 
Review and Approval; Public Comment Request

ACTION: 30-Day notice.

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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork 
Reduction Act (PRA) of 1995, the Office of the Secretary (OS), 
Department of Health and Human Services, will submit an Information 
Collection Request (ICR), described below, to the Office of Management 
and Budget (OMB) for review and approval. The ICR is for renewal of the 
approved information collection assigned OMB control number 0937-0166, 
scheduled to expire on December 31, 2012. Comments submitted during the 
first public review of this ICR will be provided to OMB. OMB will 
accept further comments from the public on this ICR during the review 
and approval period.
    Deadline: Comments on the ICR must be received within 30 days of 
the issuance of this notice.

ADDRESSES: Submit your comments, including the OMB control number 0937-
0166 and document identifier HHS-OS-17579-30D, to [email protected] or via facsimile to (202) 395-5806. Copies of 
the supporting statement and any related forms may be requested via 
email to [email protected] or by calling (202) 
690-6162.
    Information Collection Request Title: HHS 42CFR subpart B; 
Sterilization of Persons in Federally Assisted Family Planning Projects
    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 Public 
Health Service (PHS) Act. 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. 
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 A.F.D.C. in the first 
paragraph has been replaced with a reference to T.A.N.F.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions, to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information, to train personnel and to be able to respond to 
a collection of information, to search data sources, to complete and 
review the collection of information, and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this ICR are summarized in the table below.

                                                        Total Estimated Annualized Burden--Hours
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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,
Information Collection Clearance Officer, Department of Health and 
Human Services.
[FR Doc. 2012-24845 Filed 10-9-12; 8:45 am]
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