[Federal Register Volume 84, Number 121 (Monday, June 24, 2019)] [Notices] [Pages 29525-29526] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2019-13323] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS-0945-0002] Agency Information Collection Request. 30-Day Public Comment Request AGENCY: Office of the Secretary, HHS. ACTION: Notice. ----------------------------------------------------------------------- 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 July 24, 2019. ADDRESSES: Submit your comments to [email protected] or via facsimile to (202) 395-5806. FOR FURTHER INFORMATION CONTACT: Sherrette Funn, [email protected] or (202) 795-7714. When submitting comments or requesting information, please include the document identifier 0990-New-30D and project title for reference. 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. [[Page 29526]] Estimated Annualized Burden Table ---------------------------------------------------------------------------------------------------------------- Number of Average Written forms/ electronic Type of Number of responses per burden hours Total burden forms respondent respondents respondent per response hours ---------------------------------------------------------------------------------------------------------------- Civil Rights/Conscience Individuals or 8433 1 45/60 6325 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 ---------------------------------------------------------------------------------------------------------------- Terry Clark, Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer. [FR Doc. 2019-13323 Filed 6-21-19; 8:45 am] BILLING CODE 4153-01-P