[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]


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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.

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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 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
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                                                                     Number of        Average
   Written forms/ electronic         Type of         Number of     responses per   burden hours    Total burden
             forms                 respondent       respondents     respondent     per response        hours
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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
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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