PUBLIC HEALTH SERVICE STERILIZATION RECORD

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
112253	PUBLIC HEALTH SERVICE STERILIZATION RECORD	Form	Migrated

ICR Details

OMB Control No: 0937-0029	ICR Reference No: 198112-0937-002
Status: Historical Inactive	Previous ICR Reference No: 197912-0937-004
Agency/Subagency: HHS/OASH	Agency Tracking No:
Title: PUBLIC HEALTH SERVICE STERILIZATION RECORD
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Disapproved	Conclusion Date: 03/02/1982
	Date Received in OIRA: 12/31/1981
Terms of Clearance: NOT APPROVED. IN SPITE OF PERSONAL ASSURANCES FROM THE OFFICE OF THE SECRETARY, HHS HAS FAILED TO MEET THE CONDITIONS OF APPROVAL (OCTOBER 30, 1980 KINCANNON TO SERMIER LETTER) BY PROVIDING TO OMB A SPECIFIC PLAN FOR THE USE OF RACE AND ETHNICITY DATA FOR CIVIL RIGHTS TARGETING PURPOSES, A QUARTERLY SUMMARY OF INVESTIGATIONS UNDERTAKEN AND THE RESULTS OF THESE INVESTIGATIONS. HHS' EXPLANATION OF THESE DEFICIENCES IS INSUFFICIENT TO JUSTIFY APPROVAL FOR CONTINUED COLLECTION OF THESE DATA. FURTHER, THE NEED FOR THIS REPORTING SYSTEM IS, AT BEST, DOUBTFUL. ONE OF THE PROGRAMS COVERED BY THIS SYSTEM WILL BECOME A BLOCK GRANT IN FY1983, AND TWO OTHERS ARE PROPOSED FOR ADDITION TO THAT BLOCK GRANT. FINALLY, OMB BELIEVES THAT WHILE STATES MUST BE ACCOUNTABLE IN TERMS OF ASSURNG COMPLIANCE WITH HHS REGULATION, THE CURRENT SYSTEM IS BURDENSOME AND UNPRODUCTIVE AND THAT A CERTIFICATION OF COMPLIANCE WITH LAW AND REGULATION WOULD SUFFICE.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		03/02/1982	12/31/1981
Responses	0	0	800
Time Burden (Hours)	0	0	800
Cost Burden (Dollars)	0	0	0

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Abstract: THE DATA COLLECTED BY THIS FORM IS ESSENTIAL IN ORDER FOR THE DEPARTME TO ADEQUATELY MONITOR COMPLIANCE WITH THE DEPARTMENT'S STERILIZATION REGULATIONS. THE DATA ALSO ENABLES THE DEPARTMENT TO PROVIDE THE CONGRESS, THE PUBLIC, AND PROGRAM OFFICIALS WITH INFORMATION CONCERNIN THE NUMBER AND CHARACTERISTICS OF INDIVIDUALS STERILIZED WITH DHHS FUNDS.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
PUBLIC HEALTH SERVICE STERILIZATION RECORD	PHS-6044

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/31/1981

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