STERILIZATION OF PERSONS IN FEDERALLY ASSISTED FAMILY PLANNING PROJECTS, 42 CFR, 50 SUBPART B

ICR 199210-0937-001

OMB: 0937-0166

Federal Form Document

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Name
Status
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ICR Details
0937-0166 199210-0937-001
Historical Active 198909-0937-001
HHS/OASH
STERILIZATION OF PERSONS IN FEDERALLY ASSISTED FAMILY PLANNING PROJECTS, 42 CFR, 50 SUBPART B
Extension without change of a currently approved collection   No
Regular
Approved without change 12/14/1992
Retrieve Notice of Action (NOA) 10/08/1992
  Inventory as of this Action Requested Previously Approved
11/30/1995 11/30/1995 12/31/1992
40,000 0 40,000
50,000 0 50,000
0 0 0

THESE REGULATIONS AND INFORMED CONSENT PROCEDURES AR ASSOCIATED WITH FEDERALLY-FUNDED STERILIZATION SERVICES. SELECTED CONSENT FORMS ARE AUDITED DURING SITE-VISITS AND PROGRAM REVIEWS BY FEDERAL PROGRAM STAFF TO ENSURE COMPLIANCE WITH THE REGULATIONS AND PROTECTION OF THE INDIVIDUAL'S RIGHTS.

None
None


No

1
IC Title Form No. Form Name
STERILIZATION OF PERSONS IN FEDERALLY ASSISTED FAMILY PLANNING PROJECTS, 42 CFR, 50 SUBPART B

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 40,000 40,000 0 0 0 0
Annual Time Burden (Hours) 50,000 50,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/08/1992


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