[Federal Register Volume 68, Number 72 (Tuesday, April 15, 2003)]
[Notices]
[Pages 18209-18210]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-9114]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: OS-0990-0238]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

Agency: Office of the Secretary, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) 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 proposed collections for public comment. 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.
    1. Type of Information Collection Request: Extension of a currently 
approved collection.
    Title of Information Collection: Patient Follow-up Survey for the 
Multi-Site Evaluation of the Welfare-to-Work Grant Program.
    Form/OMB No.: OS-0990-0238.
    Use: This data collection will support the Office of the Assistant 
Secretary for Planning and Evaluation in its efforts to further 
document the status of Welfare-to-Work formula and competitive grantees 
and provide information on implementation issues as part of the 
Congressionally mandated evaluation of the Welfare-to-Work grants 
program.
    Frequency: On occasion.
    Affected Public: Individuals, State, Local or Tribal Governments, 
Non-profit Insitutions.
    Annual Number of Respondents: 4,164.
    Total Annual Responses: 4,164.
    Average Burden Per Response: 27 minutes.
    Total Annual Hours: 1,879.
    2. Type of Information Collection Request: New Collection.
    Title of Information Collection: National Community Centers of 
Excellence (CCOE) in Women's Health Evaluation: Survey for CCOE Center 
Directors, Program Coordinators, and Patients.

[[Page 18210]]

    Form/OMB No.: OS-0990-OWH-NEW.
    Use: This survey will assess the ability of community-based 
organizations to provide comprehensive, integrated, holistic care to 
underserved women employing a network of community partners and to 
assess patient satisfaction with the care received. Results will be 
used to determine if the CCOE program will be continued and if so, with 
what modifications. The effort employs four collection instruments, 
which include; (1) CCOE Center Director and Program Coordinator Survey, 
(2) CCOE Community Partner Survey, (3) CCOE Patient Survey, and (4) 
CCOE Site Visit. The numbers referenced below are in aggregate. See the 
associated supporting statement for individualized burden calculations.
    Frequency: One-time.
    Affected Public: Individuals and households, Businesses or other 
for-profit, not-for-profit institutions.
    Annual Number of Respondents: 6,210.
    Total Annual Responses: 6,210.
    Average Burden per Response: 17 minutes.
    Total Annual Hours: 1,711.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, E-mail your 
request, including your address, phone number, OS document identifier, 
to [email protected], or call the Reports Clearance Office on (202) 
690-8356. Written comments and recommendations for the proposed 
information collections must be mailed within 60 days of this notice 
directly to the OS Paperwork Clearance Officer designated at the 
following address: Department of Health and Human Services, Office of 
the Secretary, Assistant Secretary for Budget, Technology, and Finance, 
Office of Information and Resource Management, Attention: John Burke 
(0990-0238), Room 531-H, 200 Independence Avenue, SW., Washington DC 
20201.

    Dated: April 7, 2003.
John P. Burke III,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. 03-9114 Filed 4-14-03; 8:45 am]
BILLING CODE 4150-04-P