[Federal Register Volume 73, Number 96 (Friday, May 16, 2008)]
[Notices]
[Page 28471]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-11045]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-0990-New; 30-day notice]


Agency Information Collection Request. 30-Day Public 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 a proposed collection 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.
    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, OMB number, and OS 
document identifier, to [email protected], or call the 
Reports Clearance Office on (202) 690-5683. Written comments and 
recommendations for the proposed information collections must be 
received within 30 days of this notice directly to the OS OMB Desk 
Officer all comments must be faxed to OMB at 202-395-6974.
    Proposed Project: Evaluation of the ``I Can Do It, You Can Do It'' 
Health Promotion Program for Children and Youth with Disabilities--
New--Office on Disability (OD).
    Abstract: The Department of Health and Human Services' Office on 
Disability (OD) oversees the implementation and coordination of 
disability programs, policies, and special initiatives pertaining to 
the over 54 million persons with disabilities in the United States. As 
part of these efforts, the OD encourages youth with physical and 
cognitive disabilities to adopt a healthier life style that includes 
good nutrition and increased physical activity. ``I Can Do it, You Can 
Do It'' is a health promotion intervention program for children and 
youth between the ages of 10 and 21 with disabilities that employs a 
one-on-one mentoring approach to change health behaviors. The program 
is implemented by sponsoring organizations who work with children and 
youth with disabilities. The OD will evaluate the effectiveness of the 
program.
    The evaluation will be completed over a two-year period. 
Respondents will be children and youth with disabilities who are 
participating in the program. Mentors who work with the participants/
mentees will complete a post-program survey. Coordinators from the 
sponsoring organizations will complete a process evaluation survey. 
Results will be used to determine if the program has been successful, 
to report progress, and to make revisions for future administration of 
the program. There are no costs to respondents except their time to 
participate in the surveys.

                                        Estimated Annualized Burden Table
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                                                                                      Average
                                     Type of         Number of       Number of     burden hours    Total burden
             Forms                 respondent       respondents    responses per   per response        hours
                                                                    respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Registration Form.............  Program                      660               1            8/60              88
                                 Participant/
                                 Mentee.
Goal Setting Worksheet........  Program                      610               1            7/60              71
                                 Participant/
                                 Mentee.
Mentor Registration Form......  Mentor..........             450               1           10/60              75
Pre-Test Survey...............  Program                      560               1           19/60             177
                                 Participant/
                                 Mentee.
Weekly Check-In Form..........  Program                      560               8            7/60             522
                                 Participant/
                                 Mentee.
First Post-Test Survey........  Program                      510               1           18/60             153
                                 Participant/
                                 Mentee.
Second Post-Test Survey.......  Program                      460               1           18/60             138
                                 Participant/
                                 Mentee.
Mentor Post Assessment........  Mentor..........             450               1           15/60             112
Agency Coordinator Survey.....  Agency                         6               1           45/60             4.5
                                 Coordinators.
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    Total.....................  ................  ..............  ..............  ..............          1340.5
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Terry Nicolosi,
Office of the Secretary, Director, Office of Resources Management .
 [FR Doc. E8-11045 Filed 5-15-08; 8:45 am]
BILLING CODE 4150-39-P