Agency Forms Undergoing Paperwork Reduction Act Review, 6519-6520 [2015-02274]
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6519
Federal Register / Vol. 80, No. 24 / Thursday, February 5, 2015 / Notices
maintaining information, and disclosing
and providing information, to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information, and to
transmit or otherwise disclose the
information.
The total annual burden hours
estimated for this ICR are summarized
in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
responses per
respondent
Number of
respondents
Average
burden hours
per response
Total burden
hours
Forms (if necessary)
Type of respondent
Measures for all grantees .................
Participant-level measures ................
106
45
1
1
7
1
742
45
Perceived impact questions ..............
Perceived impact measures .............
Grantee program staff—all ...............
Grantee program staff—Tier 1 C/D,
Tier 2, and PREIS.
Youth participants—PREIS ..............
Grantee program staff—PREIS .......
2000
11
1
1
5/60
3
167
33
Total ...........................................
...........................................................
2,106
........................
........................
987
OS specifically requests comments on
(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.
Darius Taylor,
Information Collection Clearance Officer.
[FR Doc. 2015–02249 Filed 2–4–15; 8:45 am]
BILLING CODE 4168–11–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–15–0530]
rljohnson on DSK3VPTVN1PROD with NOTICES
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) has submitted the
following information collection request
to the Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995. The notice for
the proposed information collection is
published to obtain comments from the
public and affected agencies.
Written comments and suggestions
from the public and affected agencies
concerning the proposed collection of
information are encouraged. Your
comments should address any of the
following: (a) Evaluate whether the
proposed collection of information is
necessary for the proper performance of
the functions of the agency, including
whether the information will have
practical utility; (b) Evaluate the
VerDate Sep<11>2014
14:46 Feb 04, 2015
Jkt 235001
accuracy of the agencies estimate of the
burden of the proposed collection of
information, including the validity of
the methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected; (d) Minimize the burden of
the collection of information on those
who are to respond, including through
the use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses; and (e) Assess information
collection costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to omb@cdc.gov. Written
comments and/or suggestions regarding
the items contained in this notice
should be directed to the Attention:
CDC Desk Officer, Office of Management
and Budget, Washington, DC 20503 or
by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Proposed Project
EEOICPA Dose Reconstruction
Interviews and Forms, OMB No. 0920–
0530 (Expiration, 02/28/2015)—
Extension—The National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
On October 30, 2000, the Energy
Employees Occupational Illness
Compensation Program Act of 2000 (42
U.S.C. 7384–7385) was enacted. This
Act established a federal compensation
program for employees of the
Department of Energy (DOE) and certain
of its contractors, subcontractors and
vendors, who have suffered cancers and
other designated illnesses as a result of
PO 00000
Frm 00022
Fmt 4703
Sfmt 4703
exposures sustained in the production
and testing of nuclear weapons.
Executive Order 13179, issued on
December 7, 2000, delegated authorities
assigned to ‘‘the President’’ under the
Act to the Departments of Labor, Health
and Human Services, Energy and
Justice. The Department of Health and
Human Services (DHHS) was delegated
the responsibility of establishing
methods for estimating radiation doses
received by eligible claimants with
cancer applying for compensation.
NIOSH is applying the following
methods to estimate the radiation doses
of individuals applying for
compensation.
In performance of its dose
reconstruction responsibilities, under
the Act, NIOSH is providing voluntary
interview opportunities to claimants (or
their survivors) individually and
providing them with the opportunity to
assist NIOSH in documenting the work
history of the employee by
characterizing the actual work tasks
performed. In addition, NIOSH and the
claimant may identify incidents that
may have resulted in undocumented
radiation exposures, characterizing
radiological protection and monitoring
practices, and identify co-workers and
other witnesses as may be necessary to
confirm undocumented information. In
this process, NIOSH uses a computer
assisted telephone interview (CATI)
system, which allows interviews to be
conducted more efficiently and quickly
as opposed to a paper-based interview
instrument. Both interviews are
voluntary and failure to participate in
either or both interviews will not have
a negative effect on the claim, although
voluntary participation may assist the
claimant by adding important
information that may not be otherwise
available. NIOSH is requesting a threeyear approval for these data collection
activities.
E:\FR\FM\05FEN1.SGM
05FEN1
6520
Federal Register / Vol. 80, No. 24 / Thursday, February 5, 2015 / Notices
with the outcome of the dose
reconstruction. The dose reconstruction
results will be supplied to the claimant
and to the DOL, the agency that will
utilize them as one part of its
determination of whether the claimant
is eligible for compensation under the
Act. It is estimated that 3,600 claimants
will complete the conclusion form
which takes approximately five minutes
per response.
The total estimated burden hours are
3,900. There is no cost to respondents
other than their time.
3,600 claimants will be interviewed
with an average burden of one hour per
response.
At the conclusion of the dose
reconstruction process, the claimant
submits a form to confirm that the
claimant has no further information to
provide to NIOSH about the claim at
this time. The form notifies the claimant
that signing the form allows NIOSH to
forward a dose reconstruction report to
DOL and to the claimant, and closes the
record on data used for the dose
reconstruction. Signing this form does
not indicate that the claimant agrees
NIOSH uses the data collected in this
process to complete an individual dose
reconstruction that accounts, as fully as
possible, for the radiation dose incurred
by the employee in the line of duty for
DOE nuclear weapons production
programs. After dose reconstruction,
NIOSH also performs a brief, voluntary
final interview with the claimant to
explain the results and to allow the
claimant to confirm or question the
records NIOSH has compiled. This will
also be the final opportunity for the
claimant to supplement the dose
reconstruction record. Approximately
ESTIMATED ANNUALIZED BURDEN HOURS
Number of responses per
respondent
Number of
respondents
Type of respondent
Form name
Claimant ..........................................................
Claimant ..........................................................
Initial interview ................................................
Conclusion form OCAS–1 ..............................
3,600
3,600
1
1
Average
burden per
response
(in hours)
1
5/60
Total
Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2015–02274 Filed 2–4–15; 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
Proposed Projects: Conduct an
electronic survey of 2012-funded Family
Connection grantees to collect process
evaluation data to include as part of the
Cross-Site Evaluation.
Title: Cross-site Evaluation Survey
2012 Family Connection Grantees
OMB No.: 0970–NEW
Description: In the interest of
providing as complete an evaluation
report as possible by the end of FY15,
the Children’s Bureau has directed the
contractor conducting the Cross-site
Evaluation to adopt the most efficient
means possible to collect process
evaluation data from grantees. The
proposed electronic survey will replace
originally planned in-person and
telephone discussions with electronic
surveys. This will enable collection of
key information on project design,
implementation, maintenance, and
sustainability from key grantee
representatives in an abbreviated
amount of time. The quantitative nature
of the surveys will enable rapid data
analysis and reporting.
Respondents: The Cross-site
Evaluation addresses a total of
seventeen (17) Family Connection
grantees. Four categories of participants
will be surveyed: Project Leadership,
Service Providers, Project Partners
(public child welfare and community
agencies), and Evaluators. For each
grantee, an average of 20 respondents is
anticipated: 4 project leadership, 9
service providers, 2 public child welfare
agency representatives, 2 community
partner representatives, and 3
evaluators. These numbers of
participants, per category, are used in
the table below to calculate the number
of respondents, across the 17 projects to
be surveyed. Differences in burden
estimates for the different instruments
reflect the number of questions in each.
ANNUAL BURDEN ESTIMATES
Number of respondents
Instrument
Number of responses per
respondent
Average burden hours per
response
79
153
34
34
51
1
1
1
1
1
.75
.5
.25
.25
.75
rljohnson on DSK3VPTVN1PROD with NOTICES
Project Leadership Protocol ............................................................................
Service Provider Protocol ................................................................................
Public Child Welfare Partner Protocol .............................................................
Community Partner Protocol ............................................................................
Evaluator Protocol ...........................................................................................
Total burden
hours
59.25
76.5
8.5
8.5
38.25
Estimated Total Annual Burden Hours: 191.00.
Additional Information
Copies of the proposed collection may
be obtained by writing to the
Administration for Children and
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Families, Office of Planning, Research
and Evaluation, 370 L’Enfant
Promenade SW., Washington, DC 20447,
Attn: ACF Reports Clearance Officer. All
PO 00000
Frm 00023
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requests should be identified by the title
of the information collection. Email
address: infocollection@acf.hhs.gov.
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Agencies
[Federal Register Volume 80, Number 24 (Thursday, February 5, 2015)]
[Notices]
[Pages 6519-6520]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-02274]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-15-0530]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (a)
Evaluate whether the proposed collection of information is necessary
for the proper performance of the functions of the agency, including
whether the information will have practical utility; (b) Evaluate the
accuracy of the agencies estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used; (c) Enhance the quality, utility, and clarity of
the information to be collected; (d) Minimize the burden of the
collection of information on those who are to respond, including
through the use of appropriate automated, electronic, mechanical, or
other technological collection techniques or other forms of information
technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to omb@cdc.gov. Written comments and/or
suggestions regarding the items contained in this notice should be
directed to the Attention: CDC Desk Officer, Office of Management and
Budget, Washington, DC 20503 or by fax to (202) 395-5806. Written
comments should be received within 30 days of this notice.
Proposed Project
EEOICPA Dose Reconstruction Interviews and Forms, OMB No. 0920-0530
(Expiration, 02/28/2015)--Extension--The National Institute for
Occupational Safety and Health (NIOSH), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
On October 30, 2000, the Energy Employees Occupational Illness
Compensation Program Act of 2000 (42 U.S.C. 7384-7385) was enacted.
This Act established a federal compensation program for employees of
the Department of Energy (DOE) and certain of its contractors,
subcontractors and vendors, who have suffered cancers and other
designated illnesses as a result of exposures sustained in the
production and testing of nuclear weapons.
Executive Order 13179, issued on December 7, 2000, delegated
authorities assigned to ``the President'' under the Act to the
Departments of Labor, Health and Human Services, Energy and Justice.
The Department of Health and Human Services (DHHS) was delegated the
responsibility of establishing methods for estimating radiation doses
received by eligible claimants with cancer applying for compensation.
NIOSH is applying the following methods to estimate the radiation doses
of individuals applying for compensation.
In performance of its dose reconstruction responsibilities, under
the Act, NIOSH is providing voluntary interview opportunities to
claimants (or their survivors) individually and providing them with the
opportunity to assist NIOSH in documenting the work history of the
employee by characterizing the actual work tasks performed. In
addition, NIOSH and the claimant may identify incidents that may have
resulted in undocumented radiation exposures, characterizing
radiological protection and monitoring practices, and identify co-
workers and other witnesses as may be necessary to confirm undocumented
information. In this process, NIOSH uses a computer assisted telephone
interview (CATI) system, which allows interviews to be conducted more
efficiently and quickly as opposed to a paper-based interview
instrument. Both interviews are voluntary and failure to participate in
either or both interviews will not have a negative effect on the claim,
although voluntary participation may assist the claimant by adding
important information that may not be otherwise available. NIOSH is
requesting a three-year approval for these data collection activities.
[[Page 6520]]
NIOSH uses the data collected in this process to complete an
individual dose reconstruction that accounts, as fully as possible, for
the radiation dose incurred by the employee in the line of duty for DOE
nuclear weapons production programs. After dose reconstruction, NIOSH
also performs a brief, voluntary final interview with the claimant to
explain the results and to allow the claimant to confirm or question
the records NIOSH has compiled. This will also be the final opportunity
for the claimant to supplement the dose reconstruction record.
Approximately 3,600 claimants will be interviewed with an average
burden of one hour per response.
At the conclusion of the dose reconstruction process, the claimant
submits a form to confirm that the claimant has no further information
to provide to NIOSH about the claim at this time. The form notifies the
claimant that signing the form allows NIOSH to forward a dose
reconstruction report to DOL and to the claimant, and closes the record
on data used for the dose reconstruction. Signing this form does not
indicate that the claimant agrees with the outcome of the dose
reconstruction. The dose reconstruction results will be supplied to the
claimant and to the DOL, the agency that will utilize them as one part
of its determination of whether the claimant is eligible for
compensation under the Act. It is estimated that 3,600 claimants will
complete the conclusion form which takes approximately five minutes per
response.
The total estimated burden hours are 3,900. There is no cost to
respondents other than their time.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (in hours)
----------------------------------------------------------------------------------------------------------------
Claimant.............................. Initial interview....... 3,600 1 1
Claimant.............................. Conclusion form OCAS-1.. 3,600 1 5/60
-----------------------------------------------
Total
----------------------------------------------------------------------------------------------------------------
Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-02274 Filed 2-4-15; 8:45 am]
BILLING CODE 4163-18-P