Sterilization of Persons in Federally Assisted Family Planning Projects -- 42 CFR Subpart B

ICR 199602-0937-002

OMB: 0937-0166

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0937-0166 199602-0937-002
Historical Active 199509-0937-001
HHS/OASH
Sterilization of Persons in Federally Assisted Family Planning Projects -- 42 CFR Subpart B
Extension without change of a currently approved collection   No
Regular
Approved without change 04/12/1996
Retrieve Notice of Action (NOA) 02/16/1996
This information collection is approved through 2-99 under the following condition: As agreed to by HHS, the Department will add a cover memorandum to the consent form which contains the OMB number, burden estimate and other statements required by the Paperwork Reduction Act of 1995.
  Inventory as of this Action Requested Previously Approved
05/31/1999 05/31/1999 04/30/1996
50,000 0 40,000
50,000 0 50,000
0 0 0

These regulations and informed consent procedures are 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 the protection of individual's rights.

None
None


No

1
IC Title Form No. Form Name
Sterilization of Persons in Federally Assisted Family Planning Projects -- 42 CFR 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 50,000 40,000 0 10,000 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.
02/16/1996


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