[Federal Register Volume 64, Number 33 (Friday, February 19, 1999)]
[Notices]
[Page 8376]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-4028]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    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 of 1995 (44 U.S.C. Chapter 
35) and 5 CFR 1320.5. The following are those information collections 
recently submitted to OMB.
    Title and Description of Information Collection: Multi-site 
Evaluation of the Welfare-to-Work Grants Program--Baseline Forms--NEW--
As required by the Balanced Budget Act of 1997, DHHS is planning a 
four-year project to evaluate the effectiveness of welfare-to-work 
initiatives undertaken through competitive and formula grants awarded 
by the US Department of Labor. DHHS' Office of the Assistant Secretary 
for Planning and Evaluation, in conjunction with DoL and the US 
Department of Housing and Urban Development (HUD), has designed an 
evaluation that will involve several rounds of data collection from 
grantees and grant program participants. The information collection 
instruments in this request for OMB approval consist of a sample intake 
form, a contact information form, and a study participation consent 
form to be used to gather baseline and administrative information on 
study participants. Respondents: Individuals, State and Local 
Governments, Businesses or Other For-profit Organizations, Not-for-
profit Institutions; Burden Information for the Intake Form--Number of 
Respondents: 10,000; Number of Responses per Respondent: one; Average 
Burden per Response: 5 minutes; Total Burden for Intake Form: 830 
hours--Burden Information for the Contact Information Form--Number of 
Respondents: 10,000; Number of Responses per Respondent: one; Average 
Burden per Response: 5 minutes: Total Burden for Contact Information 
Form: 830 hours--Burden Information for the Consent Form--Number of 
Respondents: 10,000; Number of Responses per Respondent: one; Average 
Burden per Response: 5 minutes: Total Burden for Consent Form: 830 
hours. Total Burden: 2,490 hours. Total Annual Burden: 1,245 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) 690-6207. 
Written comments and recommendations for the proposed information 
collection should be sent directly to the OMB desk officer designated 
above at the following address: Human Resources and Housing Branch, 
Office of Management and Budget, New Executive Office Building, Room 
10235, 725 17th Street NW., Washington, DC 20503.
    Comments may also be sent to Cynthia Agens Bauer, OS Reports 
Clearance Officer, Room 503H, Humphrey Building, 200 Independence 
Avenue SW., Washington, DC 20201. Written comments should be received 
within 30 days of this notice.

    Dated: February 11, 1999.
Dennis P. Williams,
Deputy Assistant Secretary, Budget.
[FR Doc. 99-4028 Filed 2-18-99; 8:45 am]
BILLING CODE 4150-04-M