[Federal Register Volume 76, Number 101 (Wednesday, May 25, 2011)]
[Notices]
[Pages 30363-30364]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-12900]


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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

May 20, 2010.
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. Send written comments and 
recommendations for the proposed information collections within 30 days 
of this notice directly to the OS OMB Desk Officer; faxed to OMB at 
202-395-5806.

Proposed Project: Multi-Component Evaluation of the BodyWorks Program--
OMB No. 0990-NEW--Office on Women's Health (OWH)

    Abstract: Office on Women's Health (OWH) is requesting clearance 
for forms for a multi-component 3.5 year evaluation of the BodyWorks 
Program. These forms will support three evaluation tasks: (1) 
Conducting a onetime follow-up study of trainers and parents previously 
involved in BodyWorks; (2) Conducting a onetime pilot test of a post-
only survey tool to be added to the BodyWorks toolkit/resources; and, 
(3) conducting a full evaluation of the revised BodyWorks program, 
including pre, post and follow-up components as well as similar tests 
of the Spanish BodyWorks program.

[[Page 30364]]



                                       Estimated Annualized Burden Tables
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                 Data collection     Number of       Number of      burden per     Total burden
      Type of respondent              name          respondents    responses per   response  (in    (in hours)
                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
BodyWorks program participants  Parent/Caregiver             450               1           10/60              75
                                 Follow-Up Study
                                 Questionnaire.
                                Parent/Caregiver              18               1           60/60              18
                                 Follow-Up Study
                                 Focus Group.
                                English &                    100               1           10/60              17
                                 Spanish
                                 Participant
                                 Exit Survey--
                                 Post Only Pilot
                                 Study.
                                English and                  408               1           20/60             136
                                 Spanish
                                 Participant
                                 Pretests--Full
                                 Evaluation.
                                English and                  300               1           20/60             100
                                 Spanish
                                 Participant
                                 Posttests--Full
                                 Evaluation.
                                English and                  256               1           20/60              85
                                 Spanish
                                 Participant
                                 Follow-ups--
                                 Full Evaluation.
                                English and                  300               8            5/60             200
                                 Spanish
                                 Participant
                                 Session
                                 Feedback Forms--
                                 Full Evaluation.
English and Spanish BodyWorks   English and                  408               1           20/60             136
 program comparison group        Spanish
 participant.                    Participant
                                 Pretests--Full
                                 Evaluation.
                                English and                  300               1           20/60             100
                                 Spanish
                                 Participant
                                 Posttests--Full
                                 Evaluation.
                                English and                  256               1           20/60              85
                                 Spanish
                                 Participant
                                 Follow-ups--
                                 Full Evaluation.
Trainers of the BodyWorks       Trainer Follow-            1,250               1           20/60             417
 program.                        Up Study
                                 Questionnaire.
                                Trainer Follow-               15               1           60/60              15
                                 Up Study
                                 Interview.
                                Trainer Exit                  10               1           30/60               5
                                 Survey
                                 Satisfaction
                                 Interview--Post
                                 only pilot
                                 study.
                                Trainer Feedback              30               8            5/60              20
                                 Forms--Full
                                 Evaluation.
                                                 ---------------------------------------------------------------
    Total Project Burden Hours  ................  ..............  ..............  ..............           1,409
----------------------------------------------------------------------------------------------------------------


Mary Forbes,
Office of the Secretary, Paperwork Reduction Act Clearance Officer.
[FR Doc. 2011-12900 Filed 5-24-11; 8:45 am]
BILLING CODE 4150-33-P