Federal Management Regulation and Federal Property Management Regulations; Information Collection; Standard Form 94, Statement of Witness, 3372 [05-1171]

Download as PDF 3372 Federal Register / Vol. 70, No. 14 / Monday, January 24, 2005 / Notices The applications listed below, as well as other related filings required by the Board, are available for immediate inspection at the Federal Reserve Bank indicated. The application also will be available for inspection at the offices of the Board of Governors. Interested persons may express their views in writing on the standards enumerated in the BHC Act (12 U.S.C. 1842(c)). If the proposal also involves the acquisition of a nonbanking company, the review also includes whether the acquisition of the nonbanking company complies with the standards in section 4 of the BHC Act (12 U.S.C. 1843). Unless otherwise noted, nonbanking activities will be conducted throughout the United States. Additional information on all bank holding companies may be obtained from the National Information Center website at www.ffiec.gov/nic/. Unless otherwise noted, comments regarding each of these applications must be received at the Reserve Bank indicated or the offices of the Board of Governors not later than February 17, 2005. A. Federal Reserve Bank of Boston (Richard Walker, Community Affairs Officer) 600 Atlantic Avenue, Boston, Massachusetts 02106–2204: 1. Charter Oak Community Bank Corp., Rockville, Connecticut; to acquire 55 percent of the voting shares of Rockville Financial, Inc., Rockville, Connecticut, and thereby indirectly acquire voting shares of Rockville Bank, South Windsor, Connecticut. In addition to this application, Rockville Financial, Inc., Rockville, Connecticut, also has applied to become a bank holding company by acquiring 100 percent of the voting shares of Rockville Bank, South Windsor, Connecticut. Board of Governors of the Federal Reserve System, January 18, 2005. Robert deV. Frierson, Deputy Secretary of the Board. [FR Doc. 05–1239 Filed 1–21–05; 8:45 am] BILLING CODE 6210–01–S GENERAL SERVICES ADMINISTRATION [OMB Control No. 3090–0118] Federal Management Regulation and Federal Property Management Regulations; Information Collection; Standard Form 94, Statement of Witness Federal Vehicle Policy Division, GSA. AGENCY: VerDate jul<14>2003 18:04 Jan 21, 2005 Jkt 205001 Notice of request for comments regarding a renewal to an existing OMB clearance. ACTION: SUMMARY: Under the provisions of the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35), the General Services Administration, has submitted to the Office of Management and Budget (OMB) a request to review and approve a renewal of a currently approved information collection requirement regarding Standard Form 94, statement of witness. A request for public comments was published at 69 FR 54669, September 9, 2004. No comments were received. Public comments are particularly invited on: Whether this collection of information is necessary and whether it will have practical utility; whether our estimate of the public burden of this collection of information is accurate, and based on valid assumptions and methodology; ways to enhance the quality, utility, and clarity of the information to be collected. DATES: Submit comments on or before: February 23, 2005. FOR FURTHER INFORMATION CONTACT: Michael Moses, Team Leader, Federal Vehicle Policy Division, at (202) 501– 2507 or via e-mail to mike.moses@gsa.gov. ADDRESSES: Submit comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Ms. Jeanette Thornton, GSA Desk Officer, OMB, Room 10236, NEOB, Washington, DC 20503, and a copy to the Regulatory Secretariat (VIR), General Services Administration, Room 4035, 1800 F Street, NW., Washington, DC 20405. Please cite OMB Control No. 3090–0118, Standard Form 94, Statement of Witness, in all correspondence. SUPPLEMENTARY INFORMATION: A. Purpose Standard Form 94 is used by all Federal agencies to report accident information involving U.S. Government motor vehicles. The Standard Form 94 is an essential part of the investigation of motor vehicle accidents, especially those involving the public with a potential for claims against the United States. It is a vital piece of information in lawsuits and provides the Assistant United States Attorneys with a written statement to refresh recollection of accidents, as necessary. The Standard Form 94 is usually completed at the time of an accident involving a motor vehicle owned or leased by the Government. Individuals, other than the PO 00000 Frm 00018 Fmt 4703 Sfmt 4703 vehicle operator, who witness the accident, complete the form. Use of the Standard Form 94 is prescribed in FMR 102–34.300(b) and Federal Property Management Regulations 101–39.40(b). B. Annual Reporting Burden Respondents: 874 Responses Per Respondent: 1 Hours Per Response: 20 minutes Total Burden Hours: 291 Obtaining Copies of Proposals: Requesters may obtain a copy of the information collection documents from the General Services Administration, Regulatory Secretariat (VIR), 1800 F Street, NW., Room 4035, Washington, DC 20405, telephone (202) 208–7312. Please cite OMB Control No. 3090–0118, Standard Form 94, Statement of Witness, in all correspondence. Dated: January 13, 2005 Michael W. Carleton, Chief Information Officer. [FR Doc. 05–1171 Filed 1–21–05; 8:45 am] BILLING CODE 6820–14–S DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities: Proposed Collection; Comment Request Agency for Healthcare Research and Quality, HHS. ACTION: Notice. AGENCY: SUMMARY: This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request the Office of Management and Budget (OMB) to allow the proposed information collection project: ‘‘National Study of the Hospital Adverse Event Reporting Survey’’. In accordance with the Paperwork Reduction Act of 1995, 44 U.S.C. 3506(c)(2)(A), AHRQ invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by March 25, 2005. ADDRESSES: Written comments should be submitted to: Cynthia D. McMichael, Reports Clearance Officer, AHRQ, 540 Gaither Road, Room 5022, Rockville, MD 20850. Copies of the proposed collection plans, data collection instruments, and specific details on the estimated burden can be obtained from the AHRQ Reports Clearance Officer. E:\FR\FM\24JAN1.SGM 24JAN1

Agencies

[Federal Register Volume 70, Number 14 (Monday, January 24, 2005)]
[Notices]
[Page 3372]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-1171]


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GENERAL SERVICES ADMINISTRATION

[OMB Control No. 3090-0118]


Federal Management Regulation and Federal Property Management 
Regulations; Information Collection; Standard Form 94, Statement of 
Witness

AGENCY: Federal Vehicle Policy Division, GSA.

ACTION: Notice of request for comments regarding a renewal to an 
existing OMB clearance.

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

SUMMARY: Under the provisions of the Paperwork Reduction Act of 1995 
(44 U.S.C. Chapter 35), the General Services Administration, has 
submitted to the Office of Management and Budget (OMB) a request to 
review and approve a renewal of a currently approved information 
collection requirement regarding Standard Form 94, statement of 
witness. A request for public comments was published at 69 FR 54669, 
September 9, 2004. No comments were received.
    Public comments are particularly invited on: Whether this 
collection of information is necessary and whether it will have 
practical utility; whether our estimate of the public burden of this 
collection of information is accurate, and based on valid assumptions 
and methodology; ways to enhance the quality, utility, and clarity of 
the information to be collected.

DATES: Submit comments on or before: February 23, 2005.

FOR FURTHER INFORMATION CONTACT: Michael Moses, Team Leader, Federal 
Vehicle Policy Division, at (202) 501-2507 or via e-mail to 
mike.moses@gsa.gov.

ADDRESSES: Submit comments regarding this burden estimate or any other 
aspect of this collection of information, including suggestions for 
reducing this burden to Ms. Jeanette Thornton, GSA Desk Officer, OMB, 
Room 10236, NEOB, Washington, DC 20503, and a copy to the Regulatory 
Secretariat (VIR), General Services Administration, Room 4035, 1800 F 
Street, NW., Washington, DC 20405. Please cite OMB Control No. 3090-
0118, Standard Form 94, Statement of Witness, in all correspondence.

SUPPLEMENTARY INFORMATION:

A. Purpose

    Standard Form 94 is used by all Federal agencies to report accident 
information involving U.S. Government motor vehicles. The Standard Form 
94 is an essential part of the investigation of motor vehicle 
accidents, especially those involving the public with a potential for 
claims against the United States. It is a vital piece of information in 
lawsuits and provides the Assistant United States Attorneys with a 
written statement to refresh recollection of accidents, as necessary. 
The Standard Form 94 is usually completed at the time of an accident 
involving a motor vehicle owned or leased by the Government. 
Individuals, other than the vehicle operator, who witness the accident, 
complete the form.
    Use of the Standard Form 94 is prescribed in FMR 102-34.300(b) and 
Federal Property Management Regulations 101-39.40(b).

B. Annual Reporting Burden

    Respondents: 874
    Responses Per Respondent: 1
    Hours Per Response: 20 minutes
    Total Burden Hours: 291
    Obtaining Copies of Proposals: Requesters may obtain a copy of the 
information collection documents from the General Services 
Administration, Regulatory Secretariat (VIR), 1800 F Street, NW., Room 
4035, Washington, DC 20405, telephone (202) 208-7312. Please cite OMB 
Control No. 3090-0118, Standard Form 94, Statement of Witness, in all 
correspondence.

    Dated: January 13, 2005
Michael W. Carleton,
Chief Information Officer.
[FR Doc. 05-1171 Filed 1-21-05; 8:45 am]
BILLING CODE 6820-14-S
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