94-1163. Agency Forms Submitted to the Office of Management and Budget for Clearance

[Federal Register Volume 60, Number 13 (Friday, January 20, 1995)]
[Notices]
[Page 4168]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-1163]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Agency Forms Submitted to the Office of Management and Budget for 
Clearance

    On Fridays, the Department of Health and Human Services, Office of 
the Secretary publishes a list of information collections it has 
submitted to the Office of Management and Budget (OMB) for clearance in 
compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). The 
following are those information collections recently submitted to OMB.
    1. Applicant Background Survey--This form will be used to ask 
applicants for employment how they learned about a vacancy, to make 
sure that recruitment sources yield qualified women, minority and 
handicapped applicants in compliance with EEOC Management Directives.

Respondents: Individuals; Annual Number of
Respondents: 310,000; Annual Frequency of Response: one time; Average 
Burden per Response: 2 minutes;
Total Annual Burden: 10,333 hours.
OMB Desk Officer: Allison Eydt.

    Copies of the information collection packages listed above can be 
obtained by calling the OS Reports Clearance Officer on [phone]. 
Written comments and recommendations for the proposed information 
collection should be sent directly to the OMB disk officer designated 
above at the following address: OMB Reports Management Branch, New 
Executive Office Building, Room 3208, Washington, D.C. 20503.


    Dated: January 9, 1995.
Dennis P. Williams,
Deputy Assistant Secretary, Budget.
[FR Doc. 94-1163 Filed 1-19-94; 8:45 am]
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