[Federal Register Volume 69, Number 247 (Monday, December 27, 2004)]
[Notices]
[Pages 77249-77250]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-28121]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: OS-0990-New]


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.
    Type of Information Collection Request: New Collection.
    Title of Information Collection: Wave 4 Survey of Youth for the 
Federal Evaluation of Initiatives Funded Under Section 510 of the 
Maternal and Child Health Block Grant.
    Form/OMB No.: OS-0990-New.
    Use: This data collection will support the Health and Human 
Services' effort to document the impact of a select group of programs 
funded through the abstinence education provisions of the Personal 
Responsibility and Work Opportunity Reconciliation Act of 1996 as part 
of the Congressionally mandated evaluation of these programs.
    Frequency: Reporting.
    Affected Public: State, local, or tribal governments, individuals 
or households, not for profit institutions.
    Annual Number of Respondents: 2,569.
    Total Annual Responses: 2,569.
    Average Burden Per Response: 30 minutes.
    Total Annual Hours: 1,285.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access the HHS 
Web site address at http://www.hhs.gov/oirm/infocollect/pending/ or e-
mail your request, including your address, phone number, OMB number, 
and OS

[[Page 77250]]

document identifier, to [email protected], or call the Reports 
Clearance Office at (202) 690-8356. Written comments and 
recommendations for the proposed information collections must be mailed 
within 30 days of this notice directly to the Desk Officer at the 
address below: OMB Desk Officer: John Kraemer, OMB Human Resources and 
Housing Branch, Attention: (OMB 0990-New), New Executive 
Office Building, Room 10235, Washington DC 20201.

    Dated: December 15, 2004.
Robert E. Polson,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. 04-28121 Filed 12-23-04; 8:45 am]
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