[Federal Register Volume 78, Number 221 (Friday, November 15, 2013)]
[Notices]
[Page 68846]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-27410]



[[Page 68846]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier HHS-OS-20875-30D]


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 reinstating the use of the approved 
information collection assigned OMB control number 0990-0317, which 
expired on October 31, 2013. Prior to submitting the ICR to OMB, OS 
seeks comments from the public regarding the burden estimate, below, or 
any other aspect of the ICR.

DATES: Comments on the ICR must be received on or before December 16, 
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-20875-30D 
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 reinstatement without 
change of the previously approved Checklist and Program Narrative used 
by the Substance Abuse and Mental Health Services Administration 
(SAMHSA) and former PHS agencies within HHS, including the Centers for 
Disease Control and Prevention (CDC) and the Health Resources and 
Services Administration (HRSA).
    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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                                                                                      Average
                                                     Number of     Response per     burden per     Total burden
                      Forms                         respondents     respondent     response (in     (in hours)
                                                                                      hours)
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Program Narrative and Checklist (SAMHSA)........           2,121               1               4           8,484
Program Narrative and Checklist (CDC)...........              59               6              24           8,496
Program Narrative and Checklist (HRSA)..........              59               1              50           2,950
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............          19,930
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Darius Taylor,
Deputy, Information Collection Clearance Officer.
[FR Doc. 2013-27410 Filed 11-14-13; 8:45 am]
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