[Federal Register Volume 82, Number 91 (Friday, May 12, 2017)]
[Notices]
[Pages 22147-22148]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-09639]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: OS-0990-New-30D]


Agency Information Collection Activities; Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the 
Office of the Secretary (OS), Department of Health and Human Services, 
has submitted an Information Collection Request (ICR), described below, 
to the Office of Management and Budget (OMB) for review and approval. 
The ICR is for a new collection. Comments submitted during the first 
public review of this ICR will be provided to OMB. OMB will accept 
further comments from the public on this ICR during the review and 
approval period.

DATES: Comments on the ICR must be received on or before June 12, 2017.

ADDRESSES: Submit your comments to [email protected] or via 
facsimile to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT: Sherrette Funn, 
[email protected] or (202) 795-7714.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the Information Collection Request Title 
and document identifier 0990-New-30D for reference.
    Information Collection Request Title: Pregnancy Assistance Fund 
(PAF) Performance Measures Collection, FY2017-FY2019 cohort.
    Abstract: The Office of Adolescent Health (OAH), U.S. Department of 
Health and Human Services (HHS), is requesting approval by OMB of a new 
information collection request. In FY2017, OAH expects to award a new, 
3-year cohort of Pregnancy Assistance Fund (PAF) grants. Performance 
measure data collection is a requirement of PAF grants and is included 
in the funding announcement.
    Need and Proposed Use of the Information: The data collection will 
provide OAH with performance data to inform planning and resource 
allocation decisions; identify technical assistance needs for grantees; 
facilitate grantees' continuous quality improvement in program 
implementation; and provide HHS, Congress, OMB, and the general public 
with information about the individuals who participate in PAF-funded 
activities and the services they receive.
    Likely Respondents: 20 PAF grantees (States and Tribes).
    The total annual burden hours estimated for this ICR are summarized 
in the table below.

                                    Total Estimated Annualized Burden--Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
                    Form name                       respondents    responses per   response (in        hours
                                                                    respondent        hours)
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Training........................................              20               1           15/60               5
Partnerships and Sustainability.................              20               1               3              60
Dissemination...................................              20               1           30/60              10
Reach and Demographics..........................              20               1          645/60             215
Core Services...................................              20               1          750/60             250
Education.......................................              20               1               7             140
Birth Outcomes..................................              20               1          270/60              90
Self-Sufficiency Outcomes.......................              20               1           90/60              30
                                                 ---------------------------------------------------------------
    Total.......................................              20               1              40             800
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[[Page 22148]]

Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2017-09639 Filed 5-11-17; 8:45 am]
 BILLING CODE 4168-11-P