[Federal Register Volume 70, Number 169 (Thursday, September 1, 2005)]
[Notices]
[Pages 52102-52103]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-17418]


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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: Adolescent Family Life Care 
Demonstration Project End of Year Template;
    Form/OMB No.: OS-0990-New;
    Use: The Adolescent Family Life Care Demonstration projects provide 
and evaluate services for pregnant and parenting adolescents. The End 
of Year Template will provide an outline and forms to report annually 
on program and evaluation services and outcomes.
    Frequency: Annually;
    Affected Public: State, local, or tribal governments, business or 
other for profit, not for profit institutions;
    Annual Number of Respondents: 50;
    Total Annual Responses: 50;
    Average Burden Per Response: 30 minutes;
    Total Annual Hours: 106;
    To obtain copies of the supporting statement and any related forms 
for the

[[Page 52103]]

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 
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: Naomi Cook (0990-New), Room 531-H, 200 
Independence Avenue, SW., Washington, DC 20201.

    Dated: August 23, 2005.
Robert E. Polson,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. 05-17418 Filed 8-31-05; 8:45 am]
BILLING CODE 4150-30-P