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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

Agency Forms Submitted to the Office of Management and Budget for

Clearance

On Fridays, the Department of Health and Human Services, Office of

the Secretary publishes a list of information collections 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 are those information collections recently submitted to OMB.

1. 1995 Short-term, General, and Other Special Hospital Civil

Rights Compliance report--Short-term, general, and other special

hospitals that are recipients of HHS funds are being requested to file

a report providing information on their compliance with civil rights

requirements. Those hospitals that received Hill-Burton assistance will

simultaneously fulfill the current triennial community service

reporting requirements by filing this report. The Public Health Service

Act (Titles VI and XVI) requires that this information be obtained

periodically to enable assessment of the compliance of recipient Hill-

Burton health facilities with their community services assurances.

Respondents: State or local governments, business or other for-profit,

non-profit institutions; Total Number of Respondents: 4975; Frequency

of Response: once every three years; Average Burden per Response: 32.5

hours; Estimated Annual Burden: 53,918 hours. OMB Desk Officer: Allison

Eydt.

Copies of the information collection packages listed above can be

obtained by calling the OS Reports Clearance Officer on (202) 619-1053.

Written comments and recommendations for the proposed information

collection should be sent directly to the OMB desk officer designated

above at the following address: OMB Reports Management Branch, New

Executive Office Building, Room 3208, Washington, D.C. 20503.

[[Page 36283]]

Dated: July 3, 1995.

Dennis P. Williams,

Deputy Assistant Secretary, Budget.

[FR Doc. 95-17307 Filed 7-13-95; 8:45 am]

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