[Federal Register Volume 81, Number 178 (Wednesday, September 14, 2016)]
[Notices]
[Page 63192]
From the Federal Register Online via the Government Publishing Office [http://www.gpo.gov/]
[FR Doc No: 2016-22081]
[[Page 63192]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
[Document Identifier: HHS-OS-0990-0324-60D]
Agency Information Collection Activities; Proposed Collection;
Public Comment Request
AGENCY: Office of the Secretary, Department of Health and Human
Services.
ACTION: Notice.
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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the Office of the Secretary (OS), Department of
Health and Human Services, announces plans to submit an Information
Collection Request (ICR), described below, to the Office of Management
and Budget (OMB). The ICR is for reinstatement with change of a
previously-approved information collection assigned OMB control number
0990-0324, which expired on 03/31/2011. Prior to submitting the ICR to
OMB, OS seeks comments from the public regarding the burden estimate,
below, or any other aspect of the ICR.
DATES: Comments on the ICR must be received on or before October 14,
2016.
ADDRESSES: Submit your comments to
[email protected] or by calling (202) 690-5683.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the document identifier HHS-OS-0990-0324-
60D for reference.
Information Collection Request Title: The Commissioned Corps of the
U.S. Public Health Service Application-Medical Forms.
Abstract: The principal purpose for collecting the information is
to permit HHS to determine eligibility for appointment of applicants
into the Commissioned Corps of the U.S. Public Health Service (Corps).
The Corps is one of the seven Uniformed Services of the United States
(37 U.S.C. 101(3)), and appointments in the Corps are made pursuant to
42 U.S.C. 204 et seq. and 42 CFR 21.58. The application consists of PHS
Medical forms noted below.
Likely Respondents: Candidates/Applicants to the Commissioned
Corps.
Total Estimated Annualized Burden Hours
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Average
Form No. Number of Response per burden per Total burden
respondents respondent response hours
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PHS-6355........................................ 1,000 1 1/60 1,000
PHS-6379........................................ 4,000 1 1/60 1,000
PHS-7053........................................ 800 1 6/60 80
PHS-7054........................................ 1,320 1 6/60 132
PHS-7055........................................ 2,800 1 7/60 327
PHS-7056........................................ 1,600 1 7/60 187
PHS-7057........................................ 600 1 5/60 50
PHS-7061........................................ 2,000 1 10/60 333
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Total....................................... .............. .............. .............. 3,109
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OS specifically requests comments on (1) the necessity and utility
of the proposed information collection for the proper performance of
the agency's functions, (2) the accuracy of the estimated burden, (3)
ways to enhance the quality, utility, and clarity of the information to
be collected, and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
Terry S. Clark,
Asst. Information Collection Clearance Officer.
[FR Doc. 2016-22081 Filed 9-13-16; 8:45 am]
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