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Agency Information Collection Request. 30-Day Public Comment Request

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Office of the Secretary, HHS.




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.


Comments on the ICR must be received on or before January 17, 2019.


Submit your comments to or via facsimile to (202) 395-5806.

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Sherrette Funn, or (202) 795-7714. When submitting comments or requesting information, please include the document identifier 0990-New-30D and project title for reference.

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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: HHS 42 CFR subpart B; Sterilization of Persons in Federally Assisted Family Planning Projects.

Type of Collection: Extension.

OMB No.: 0937-0166.

Abstract: This is a request for extension of a currently approved collection for the disclosure and recordkeeping requirements codified at 42 CFR part 50, subpart B (“Sterilization of Persons in Federally Assisted Family Planning Projects”). The consent form solicits information to assure voluntary and informed consent to persons undergoing sterilization in programs of health services which are supported by federal financial assistance administered by the PHS. It provides additional procedural protection to the individual and the regulation requires that the consent form be a copy of the form that is appended to the PHS regulation. In 2003, the PHS sterilization consent form was revised to conform to OMB government-wide standards for the collection of race/ethnicity data and to incorporate the PRA burden statement as part of the consent form. We are requesting a three year extension.

Type of respondent: Individuals seeking sterilization; frequency: Once; prior to procedure.

Estimated Annualized Burden Table

Type of respondentNumber of respondentsNumber responses per respondentAverage burden per response (in hours)Total burden hours
Citizens Seeking Sterilization100,00011100,000
Citizens Seeking Sterilization100,000115/6025,000
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Terry Clark,

Asst. Paperwork Reduction Act Reports Clearance Officer, Office of the Secretary.

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[FR Doc. 2018-27366 Filed 12-17-18; 8:45 am]