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Agency Information Collection Request. 60-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 May 17, 2019.


Submit your comments to or by calling (202) 795-7714.

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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,, or call 202-795-7714.

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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: 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

Written forms/electronic formsType of respondentNumber of respondentsNumber of responses per respondentAverage burden hours per responseTotal burden hours
Civil Rights/Conscience Religious Freedom Discrimination ComplaintIndividuals or households, Not-for-profit institutions8,433145/606,325
Health Information Privacy ComplaintIndividuals or households, Not-for-profit institutions25,299145/6018,974
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Terry Clark,

Information Collection Clearance Officer.

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[FR Doc. 2019-04930 Filed 3-15-19; 8:45 am]