[Federal Register Volume 84, Number 52 (Monday, March 18, 2019)]
[Notices]
[Pages 9802-9803]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-04930]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-0945-0002]


Agency Information Collection Request. 60-Day Public Comment 
Request

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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SUMMARY: In compliance with the requirement 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.

DATES: Comments on the ICR must be received on or before May 17, 2019.

ADDRESSES: Submit your comments to [email protected] or by calling 
(202) 795-7714.

FOR FURTHER INFORMATION CONTACT: When submitting comments or requesting 
information, please include the document identifier 0945-0002-60D, and 
project title for reference, to Sherrette Funn, the Reports Clearance 
Officer, [email protected], or call 202-795-7714.

SUPPLEMENTARY INFORMATION: 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.
    Title of the Collection: Health Information Privacy and Civil 
Rights/Conscience and Religious Freedom Discrimination Complaint.
    Type of Collection: Revision.
    OMB No.: 0945-0002.
    Abstract: The Office for Civil Rights is seeking a revision on an 
approval for a 3-year clearance on a previous collection. Individuals 
may file written or electronic complaints with the Office for Civil 
Rights when they believe they have been discriminated against by 
programs or entities that receive Federal financial assistance from the 
Health and Human Service or if they believe that their right to the 
privacy of protected health information freedom has been violated. 
Annual Number of Respondents frequency of submission is record keeping 
and reporting on occasion.

                                        Estimated Annualized Burden Table
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                                                                     Number of    Average burden
Written forms/electronic forms       Type of         Number of     responses per     hours per     Total burden
                                   respondent       respondents     respondent       response          hours
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Civil Rights/Conscience         Individuals or             8,433               1           45/60           6,325
 Religious Freedom               households, Not-
 Discrimination Complaint.       for-profit
                                 institutions.
Health Information Privacy      Individuals or            25,299               1           45/60          18,974
 Complaint.                      households, Not-
                                 for-profit
                                 institutions.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          25,299
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[[Page 9803]]

Terry Clark,
Information Collection Clearance Officer.
[FR Doc. 2019-04930 Filed 3-15-19; 8:45 am]
BILLING CODE 4153-01-P