[Federal Register Volume 59, Number 43 (Friday, March 4, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-4978]
[[Page Unknown]]
[Federal Register: March 4, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
Agency Forms Submitted to the Office of Management and Budget for
Clearance
Each Friday the Public Health Service (PHS) publishes a list of
information collection requests 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 requests
have been submitted to OMB since the list was last published on Friday,
February 4, 1994.
(Call PHS Reports Clearance Officer on 202-690-7100 for copies of
requests).
1. Black Lung Clinic Program (42 CFR 55a) and Program Guidelines--
0915-0081 (Extension)--The Health Resources and Services Administration
uses the application information to determine applicants' eligibility
for awards. The grantees are required to maintain patient treatment
plans and a register of patients to ensure quality medical care.
Respondents: State or local governments; Non-profit institutions:
Number of Respondents: 14; Number of Responses per Respondent: 1;
Average Burden per Recordkeeper: 3,000 hours; Estimated Annual Burden:
42,000 hours.
2. Special Volunteer and Guest Research Assignment--0925-0177
(Extension)--Form NIH-590 records names, address, employer, education,
and other information on prospective Special Volunteers and Guest
Researchers, and is used by the responsible National Institutes of
Health approving official to determine the individual's qualifications
and eligibility for such assignments. The form is the only official
record of approved assignments. Respondents: Individuals or households;
Number of Respondents: 1,000; Number of Responses per Respondent: 1;
Average Burden per Response: .08 hour; Estimated Annual Burden: 80
hours.
3. Ethics and Human Genetics: A Survey of Approaches in the United
States of America--New--This survey will be valuable in establishing
research priorities in prevention and treatment of mental retardation,
in developing training programs for professionals, and in developing
guidelines and policy options for the orderly introduction of
information generated by human genome research into biomedical
practices. Participants include geneticists, physicians, and the
public. Respondents: Individuals or households; Businesses or other
for-profit; Small businesses or organizations; Number of Respondents:
2,901; Number of Responses per Respondent: 1; Average Burden per
Response: 0.712; Estimated Annual Burden: 2,065 hours.
4. Evaluation of the HHS Access to Community Care and Effective
Services and Supports (ACCESS) Program--0930-0164 (Revision)--The
Center for Mental Health Services, Substance Abuse and Mental Health
Services Administration, is requesting clearance for an evaluation
study that will assess services integration (SI) approaches for
homeless persons with severe mental illnesses. SI sites will be
contrasted with comparison sites to assess the impact of SI. Case
studies will describe approaches to SI processes by which SI takes
place and factors that influence SI. Respondents: Individuals or
households; State or local governments; businesses or other for-profit;
Federal agencies or employees; non-profit institutions; small
businesses or organizations.
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No. of No. of responses Average burden per
Title respondents per respondent response
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Clients................................................ 7,200 .7 .93 hours.
Service Providers...................................... 1,935 14 .15 hours.
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Estimated Total Annual Burden--8,799 hours.
5. Requests for Public Health Assessments--42 CFR part 90--0923-
0002--(Extension)--This information collection provides a mechanism for
the public to request that a public health assessment(s) be conducted
by the Agency for Toxic Substances and Disease Registry at a site/
location where there may be concerns that exposure to hazardous
substances may be an issue. Respondents: Individuals or households,
State or local governments, businesses or other for-profit, non-profit
institutions, small businesses or organizations; Number of Respondents:
60; Number of Responses per Respondent: 1; Average Burden per Response:
.5 hours; Estimated Annual Burden: 30 hours.
6. Tissue Bank Survey--New--This survey is designed to assess
public health benefits, evaluate agency resource needs, and consider
industry and consumer impact of federal regulation. Information is
required about current practices, number, resources, and size of
operations of tissue banks processing bone for therapeutic use.
Respondents: Non-profit institutions; Number of Respondents: 199;
Number of Responses per Respondent: 1; Average Burden per Response: 2.6
hours; Estimated Annual Burden: 510 hours.
7. Congenital Syphilis Case Investigation and Reporting Form--0920-
0128 (Extension-No Change) This data collection will provide a
surveillance system for congenital syphilis (CS). The data will be used
to monitor levels of disease, develop intervention strategies and
evaluate ongoing efforts. Respondents: State or local governments;
Number of Respondents: 65; Number of Responses per Respondent: 54;
Average Burden per Response: .25 hours; Estimated Annual Burden: 875
hours.
8. Health Education Assistance Loan (HEAL) Program Forms--0915-0034
(Revision)--The forms are needed for lenders to make application to the
health insurance program, to report accurately and timely on loan
actions, including transfer of loans to a secondary agent, and to
establish the repayment status of borrowers. This request is for
revision of the Borrowers Status Form. Respondents: Individuals or
household; businesses or other for-profit; non-profit institutions.
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No. of No. of responses Average burden
Title respondents per respondent per response
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Lender Application
HRSA Form 504...... 66 1 8 minutes.
Leinder's Manifest
HRSA Form 505...... 31 141 5 minutes.
Loan Transfer
Statement HRSA Form
507................ 66 123 10 minutes.
Borrower Status HRSA
Form 508 (Borrower) 10,582 1 10 minutes.
Borrower Status HRSA
Form 508 (Employer) 6,560 1.6 5 minutes.
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Estimated Total Annual Burden--4,368 hours.
Written comments and recommendations concerning the proposed
information collections should be sent within 30 days of this notice
directly to the OMB Desk Officer designated below at the following
address:
Shannah Koss, Human Resources and Housing Branch, New Executive
Office Building, room 3002, Washington, DC 20503.
Dated: February 28, 1994.
James Scanlon,
Director, Division of Data Policy, Office of Health Planning and
Evaluation.
[FR Doc. 94-4978 Filed 3-3-94; 8:45 am]
BILLING CODE 4160-17-M
