Agency Forms Submitted to the Office of Management and Budget for Clearance

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,

September 30, 1994.

(Call PHS Reports Clearance Officer on 202-690-7100 for copies of

request)

1. CDC Model Performance Evaluation Program--0910-0274--The Centers

for Disease Control (CDC) had developed a Model Performance Evaluation

Program to assess the quality and effectiveness of emerging laboratory

technologies. In addition to allowing laboratories to evaluate

themselves, CDC hopes to build a database describing current laboratory

testing practices for the total HIV-1 and retroviral testing processes.

Respondents: Individuals or households.

------------------------------------------------------------------------

Average

Number of burden

Title Number of responses per

respondents per response

respondent (hours)

------------------------------------------------------------------------

Retroviral........................... 800 1 .5

TLI Clinicians....................... 1,667 1 .33

New Enrollment Respondents........... 200 1 .05

TLI Laboratories..................... 400 1 .05

------------------------------------------------------------------------

Estimate Total Annual Burden: 1,160

2. Federal Policy for the Protection of Human Subjects--9999-0020/

0925-0418 (Extension, no change)--As required by P.L. 95-622, the

Secretary, HHS on behalf of affected Federal Departments and Agencies,

published the Final Common Rule that requires applicant and awardee

institutions receiving Federal funds to initiate procedures to report,

disclose and keep required records for the protection of human subjects

of research. This request is for approval of the information

requirements associated with the common rule. Respondents: Individuals

or households, State or local governments, Businesses or other for-

profit, Federal agencies or employees, Non-profit institutions, Small

businesses or organizations. Number of Respondents: 3,831; Number of

Responses per Respondent: 56.8; Average Burden per Response: 0.755

hours; Estimated Annual Burden: *187,408.

Note: Burden is carried government-wide against 9999-0020.

Approval with 1 hour of burden, is carried for administrative

purpose also under control number 0925-0418.

3. Application Packets for Real Property for Public Health

Purposes--0937-0191 (Extension, no change) State and local governments

and non-profit organizations use these applications to apply for excess

surplus, under-utilized/unutilized and off-site government real

property. These applications are used to determine if institutions/

organizations are eligible to purchase, lease or use property under the

provisions of the surplus property program. Respondents: State or local

governments, Non-profit institutions; Number of Respondents: 114;

Number of Responses per Respondent: 1; Average Burden per Response: 200

hours; Estimated Annual Burden: 22,800 hours.

4. 1995 National Health Interview Survey--0920-0214 (Revision)--The

National Health Interview Survey an ongoing survey of the civilian,

non-institutionalized population monitors the Nation's health. The 1995

NHIS will include supplements on ``Disability'', ``Family Resources'',

``Immunization'', ``Aids Knowledge and Attitudes'', and ``Year 2000

Objectives''. Respondents: Individuals or households; Number of

Respondents: 41,000; Number of Responses per Respondent: 1; Average

Burden per Response: 2.54 hours; Estimated Annual Burden: 104,214

hours.

5. Integrated Evaluation of Public and Private Sector Disease

Reporting and Service Delivery--New--A survey methodology has been

developed to collect information on STD cases seen by physicians and

nursing professionals working both independently or in public and

private institutions. This methodology will be used to estimate the

actual number of syphilis and gonorrhea cases occurring over a one-year

period. These numbers will be compared to the actual number of cases

reported to the Centers for Disease Control surveillance system by the

State Department of Health. Respondents: Individuals or households;

Number of Respondents: 1,000; Number of Responses per Respondent: 1;

Average Burden per Response: .882 hours; Estimated Annual Burden: 882

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: October 7, 1994.

James Scanlon,

Director, Division of Data Policy, Office of Health Planning and

Evaluation.

[FR Doc. 94-25447 Filed 10-13-94; 8:45 am]

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