# Agency Information Collection Request. 30-Day Public Comment Request
**AGENCY:**
Office of the Secretary, HHS.
**ACTION:**
Notice.
**SUMMARY:**
In compliance with the requirement of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is publishing the following summary of a proposed collection for public comment.
**DATES:**
Comments on the ICR must be received on or before November 3, 2022.
**ADDRESSES:**
Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to *www.reginfo.gov/public/do/PRAMain.* Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using the search function.
**FOR FURTHER INFORMATION CONTACT:**
Sherrette Funn, *[email protected]* or (202) 264-0041. When submitting comments or requesting information, please include the document identifier 0945-0002-30D and project title for reference.
**SUPPLEMENTARY INFORMATION:**
Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (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.
*Title of the Collection* : Civil Rights and Conscience Complaint and Health Information Privacy & Security Complaint.
*Type of Collection:* Extension.
*OMB No.:* 0945-0002.
**Abstract**
The Office for Civil Rights (OCR) is requesting an extension of the previously approved collection 0945-0002 that is expiring in November 2022, titled: Civil Rights and Conscience Complaint and Health Information Privacy & Security Complaint.
This request revises the: Civil Rights and Conscience Complaint and Health Information Privacy & Security Complaint as currently approved and will remain in compliance with the Paperwork Reduction Act. We are requesting a 3year extension.
Type of respondent; Individuals or households, Not-for-profit institutions and Individuals or households annually.
| Written forms/electronic forms | Type of respondent | Number of | Number of | Average | Total burden hours |
| --- | --- | --- | --- | --- | --- |
| Civil Rights/Conscience Discrimination Complaint | Individuals or households, Not-for-profit institutions | 15,446 | 1 | 45/60 | 11,585 |
| Health Information Privacy Complaint | Individuals or households, Not-for-profit institutions | 30,392 | 1 | 45/60 | 22,794 |
| Total | | 45,838 | | 45/60 | 34,379 |
Sherrette A. Funn,
Paperwork Reduction Act Reports Clearance Officer, Office of the Secretary.