Agency Forms Undergoing Paperwork Reduction Act Review, 57960-57961 [2010-23872]
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57960
Federal Register / Vol. 75, No. 184 / Thursday, September 23, 2010 / Notices
Information will also be collected
from a comparison group of 700
respondents who will complete pre- and
post-intervention questionnaires, but
will not participate in the discussion
groups or review the briefing materials.
obesity prevention. OMB approval is
requested for one year. There are no
costs to respondents other than their
time. The total estimated annualized
burden hours are 2,034.
The goal is to identify key issues for
community obesity prevention
programs, to refine promising obesity
prevention practices for targeted
communities, and to facilitate the
dissemination of promising practices for
ESTIMATED ANNUALIZED BURDEN HOURS
Form name
General Public ....................................
Discussion Group Moderator’s Guide
Discussion Group Confirmation and
Instructions.
Briefing Materials ................................
On-Line Questionnaire: Deliberative
Poll on Obesity Prevention and
Control.
Dated: September 15, 2010.
Carol Walker,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. 2010–23758 Filed 9–22–10; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30-Day–10–0783]
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Number of responses per respondent
Number of respondents
Type of respondents
Average burden per
response
(in hours)
250
250
Background and Brief Description
Safe Dates, a dating violence
prevention curriculum for 8th and 9th
grade students, has been shown to be
effective at preventing victimization and
perpetration of teen dating violence in
one rural North Carolina school district,
but appropriateness of the program with
urban, high-risk adolescents is
unknown. CDC has learned additional
information about violence and risk
factors for adolescents in urban, highrisk communities since the original
OMB clearance package was submitted.
Recent research also has shown that
adolescents who live in urban,
disadvantaged communities report
significantly higher prevalence of some
risky behaviors, including violence,
than nationally representative U.S.
adolescents (Swahn & Bossarte, 2009).
To assess whether Safe Dates should be
modified for urban, high-risk
adolescents, CDC requests OMB
approval to conduct focus groups with
1
10/60
250
950
Proposed Project
Evaluation of Safe Dates Project—
(OMB No. 0920–0783 exp. 6/30/2011)—
Revision—National Center for Injury
Prevention and Control (NCIPC),
Centers for Disease Control and
Prevention (CDC).
4
1
1
2
10/60
30/60
students and interviews with teachers at
urban schools in the 2010–2011 school
year. Data collection staff will use new
interview guides designed for this
purpose. The data collection will
require participation from teachers at
eight schools who delivered the Safe
Dates program and students at one
school who received the program.
Qualitative data will be collected
through student focus groups and
teacher interviews. Students will
complete a participant profile form to
capture basic demographic information.
Approximately 40 students at one
school will participate in focus groups.
Two focus groups will consist of 8–10
boys, and two focus groups will include
8–10 girls. Informed written consent
from parents for each student’s
participation and informed written
assent from tenth graders for their own
participation will be obtained. Twenty
teachers will participate in interviews.
Students and teachers will be asked
about their experiences with the Safe
Dates program and ideas they may have
about adapting the program for urban
schools.
There is no cost to respondents other
than their time. The total estimated
annual burden hours are 14,193.
ESTIMATED ANNUALIZED BURDEN HOURS
No. of respondents
srobinson on DSKHWCL6B1PROD with NOTICES
Type of respondent
Form name
Student ............................................................
Student Effectiveness Baseline Survey .........
1st Student mid-implementation survey .........
2nd Student mid-implementation survey .......
Student Effectiveness Follow-up Survey .......
Baseline principal survey ...............................
Mid-implementation principal survey ..............
End-of-school-year principal survey ...............
Principal ..........................................................
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10,158
3,612
3,612
8,126
49
32
49
E:\FR\FM\23SEN1.SGM
23SEN1
Average burden per
response
(in hours)
No. of responses per
respondent
1
1
1
1
1
1
1
35/60
25/60
25/60
35/60
15/60
15/60
15/60
57961
Federal Register / Vol. 75, No. 184 / Thursday, September 23, 2010 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Form name
Student ............................................................
(new instrument) .............................................
Prevention coordinator ....................................
Student Focus Group Guide (student demographic data and focus group questions).
Baseline prevention coordinator survey .........
Mid-implementation prevention coordinator
survey.
End-of-school-year prevention coordinator
survey.
Follow-up prevention coordinator survey .......
Baseline teacher survey .................................
Teacher Cost survey ......................................
Fifth session mid-implementation survey .......
Ninth session mid-implementation survey .....
Teacher Interview Guide ................................
Teacher ...........................................................
Teacher (new instrument) ...............................
Dated: September 17, 2010.
Maryam I. Daneshvar,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2010–23872 Filed 9–22–10; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Division of Unaccompanied
Children’s Services (DUCS) Request for
Specific Consent.
OMB No.: New Collection.
Description: The William Wilberforce
Trafficking Victims Protection
Reauthorization Act of 2008 (TVPRA of
Average burden per
response
(in hours)
No. of responses per
respondent
No. of respondents
Type of respondent
40
1
1.5
49
32
1
1
15/60
15/60
49
1
15/60
49
98
49
98
98
20
1
1
11
2
2
1
5/60
15/60
20/60
25/60
25/60
1
information, basic identifying
information on the unaccompanied
alien child, the name of the HHS-funded
facility where the child is in HHS
custody and care, the name of the court
and its location, and the kind of request
(e.g., for a change in custody, etc.). The
form also asks that the unaccompanied
alien child’s attorney or authorized
representative attach a Notice of
Representation, which is an approved
federal government agency form used
for immigration procedures that
authorizes the attorney to act on behalf
of the child (i.e., G–28, EOIR–28, EOIR–
29), or any other form of authorization
to act on behalf of the unaccompanied
alien child.
Respondents: Attorneys, accredited
legal representatives, or others
authorized to act on behalf of a
unaccompanied alien child.
2008), Public Law 110–457 was enacted
into law December 23, 2008. Section
235(d) directs the Secretary of HHS to
grant or deny requests for specific
consent for unaccompanied alien
children in HHS custody who seek to
invoke the jurisdiction of a state court
for a dependency order and who also
seek to invoke the jurisdiction of a state
court to determine or alter his or her
custody status or release from ORR.
These requests can be extremely time
sensitive since a child must ask a state
court for dependency before turning 18
years old.
In developing procedures for
collecting the necessary information
from unaccompanied alien children,
their attorneys, or other representatives
to allow HHS to approve or deny
consent requests, ORR/DUCS devised a
form. Specifically, the form asks the
requestor for his/her identifying
ANNUAL BURDEN ESTIMATES
Instrument
Number of
respondents
Number of
responses per
respondent
Average burden
hours per
response
Total burden
hours
ORR–0132 .......................................................................................
72
1
0.33
23.76
............................
............................
............................
23.76
srobinson on DSKHWCL6B1PROD with NOTICES
Estimated Total Annual Burden Hours .....................................
Additional Information:
Copies of the proposed collection may
be obtained by writing to the
Administration for Children and
Families, Office of Administration,
Office of Information Services, 370
L’Enfant Promenade, SW., Washington,
DC 20447, Attn: ACF Reports Clearance
Officer. All requests should be
identified by the title of the information
collection. E-mail address:
infocollection@acf.hhs.gov.
OMB Comment:
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16:52 Sep 22, 2010
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OMB is required to make a decision
concerning the collection of information
between 30 and 60 days after
publication of this document in the
Federal Register. Therefore, a comment
is best assured of having its full effect
if OMB receives it within 30 days of
publication. Written comments and
recommendations for the proposed
information collection should be sent
directly to the following: Office of
Management and Budget, Paperwork
Reduction Project, Fax: 202–395–7285,
E-mail:
PO 00000
Frm 00075
Fmt 4703
Sfmt 9990
OIRA_SUBMISSION@OMB.EOP.GOV,
Attn: Desk Officer for the
Administration for Children and
Families.
Dated: September 20, 2010.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2010–23782 Filed 9–22–10; 8:45 am]
BILLING CODE 4184–01–P
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]]>Agencies
[Federal Register Volume 75, Number 184 (Thursday, September 23, 2010)]
[Notices]
[Pages 57960-57961]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-23872]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30-Day-10-0783]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail
to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-5806.
Written comments should be received within 30 days of this notice.
Proposed Project
Evaluation of Safe Dates Project--(OMB No. 0920-0783 exp. 6/30/
2011)--Revision--National Center for Injury Prevention and Control
(NCIPC), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Safe Dates, a dating violence prevention curriculum for 8th and 9th
grade students, has been shown to be effective at preventing
victimization and perpetration of teen dating violence in one rural
North Carolina school district, but appropriateness of the program with
urban, high-risk adolescents is unknown. CDC has learned additional
information about violence and risk factors for adolescents in urban,
high-risk communities since the original OMB clearance package was
submitted. Recent research also has shown that adolescents who live in
urban, disadvantaged communities report significantly higher prevalence
of some risky behaviors, including violence, than nationally
representative U.S. adolescents (Swahn & Bossarte, 2009). To assess
whether Safe Dates should be modified for urban, high-risk adolescents,
CDC requests OMB approval to conduct focus groups with students and
interviews with teachers at urban schools in the 2010-2011 school year.
Data collection staff will use new interview guides designed for this
purpose. The data collection will require participation from teachers
at eight schools who delivered the Safe Dates program and students at
one school who received the program. Qualitative data will be collected
through student focus groups and teacher interviews. Students will
complete a participant profile form to capture basic demographic
information. Approximately 40 students at one school will participate
in focus groups. Two focus groups will consist of 8-10 boys, and two
focus groups will include 8-10 girls. Informed written consent from
parents for each student's participation and informed written assent
from tenth graders for their own participation will be obtained. Twenty
teachers will participate in interviews. Students and teachers will be
asked about their experiences with the Safe Dates program and ideas
they may have about adapting the program for urban schools.
There is no cost to respondents other than their time. The total
estimated annual burden hours are 14,193.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
No. of Average burden
Type of respondent Form name No. of responses per per response
respondents respondent (in hours)
----------------------------------------------------------------------------------------------------------------
Student............................ Student Effectiveness 10,158 1 35/60
Baseline Survey.
1st Student mid- 3,612 1 25/60
implementation survey.
2nd Student mid- 3,612 1 25/60
implementation survey.
Student Effectiveness 8,126 1 35/60
Follow-up Survey.
Principal.......................... Baseline principal survey.. 49 1 15/60
Mid-implementation 32 1 15/60
principal survey.
End-of-school-year 49 1 15/60
principal survey.
[[Page 57961]]
Student............................ Student Focus Group Guide 40 1 1.5
(new instrument)................... (student demographic data
and focus group questions).
Prevention coordinator............. Baseline prevention 49 1 15/60
coordinator survey.
Mid-implementation 32 1 15/60
prevention coordinator
survey.
End-of-school-year 49 1 15/60
prevention coordinator
survey.
Follow-up prevention 49 1 5/60
coordinator survey.
Teacher............................ Baseline teacher survey.... 98 1 15/60
Teacher Cost survey........ 49 11 20/60
Fifth session mid- 98 2 25/60
implementation survey.
Ninth session mid- 98 2 25/60
implementation survey.
Teacher (new instrument)........... Teacher Interview Guide.... 20 1 1
----------------------------------------------------------------------------------------------------------------
Dated: September 17, 2010.
Maryam I. Daneshvar,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2010-23872 Filed 9-22-10; 8:45 am]
BILLING CODE 4163-18-P
