[Federal Register Volume 78, Number 167 (Wednesday, August 28, 2013)]
[Notices]
[Pages 53146-53147]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-20959]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: HHS-OS-20358-60D]


Agency Information Collection Activities; Proposed Collection; 
Public Comment Request

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Office of the Secretary (OS), Department of 
Health and Human Services, announces plans to submit an Information 
Collection Request (ICR), described below, to the Office of Management 
and Budget (OMB). The ICR is for extending the use of the approved 
information collection assigned OMB control number 0990-0317, which 
expires on October 31, 2013. Prior to submitting ICR to OMB, OS seeks 
comments from the public regarding the burden estimate, below, or any 
other aspect of the ICR.

[[Page 53147]]


DATES: Comments on the ICR must be received on or before October 28, 
2013.

ADDRESSES: Submit your comments to 
[email protected] or by calling (202) 690-6162.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance 
staff, [email protected] or (202) 690-6162.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the document identifier HHS-OS-0990-0317-
60D for reference.
    Information Collection Request Title: HHS Supplemental Form to the 
SF-424 (HHS 5161-1)
    OMB No.: 0990-0317.
    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).
    Need and Proposed Use of the Information: Each agency's financial 
assistance program evaluates the information provided by the applicants 
to select the ones most likely to meet program objectives and to 
determine that satisfactory progress is being made on funded projects.
    Likely Respondents: CDC, SAMHSA, IHS, OS, FDA, and HRSA
    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.

 
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                                                                                    Avg. burden
                      Forms                           No. 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 Narrative              59               6              24           8,496
 (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
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............          42,691
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    OS specifically requests comments on (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.

Darius Taylor,
Deputy Information Collection Clearance Officer.
[FR Doc. 2013-20959 Filed 8-27-13; 8:45 am]
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