E5-6569. 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.

#1 Type of Information Collection Request: New Collection, Regular.

Title of Information Collection: National Community Centers of Excellence in Women's Health and National Centers of Excellence in Women's Health Joint Project Evaluation Professional Survey.

Form/OMB No.: OS-0990-New.

Use: Health professionals and community leaders who participated in a joint project program will complete a survey sharing their perceptions of the program's impact on their work. This will help evaluate the processes and outcomes of the joint projects and their ability to provide integrated services to women.

Frequency: Other, once per person.

Affected Public: Individuals or households.

Annual Number of Respondents: 170.

Total Annual Responses: 170.

Average Burden Per Response: 15-minutes.

Total Annual Hours: 43.

#2 Type of Information Collection Request: New Collection, Regular.

Title of Information Collection: National Community Centers of Excellence in Women's Health (CCOE) and National Centers of Excellence in Women's Health (CoE) Joint Project Evaluation Participant Survey.

Form/OMB No.: OS-0990-New.

Use: Women (patient/community members) who particpated in a joint project program will complete a survey sharing their perceptions of the program's impact on their knowledge or health. This will help evaluate the processes and outcomes of the joint projects and their ability to provide integrated services to women. The Office of Women's Health will use the results to improve the joint project model, help set funding priorities, and explore whether expansion or bridging of the CoE/CCOE programs is warranted.

Frequency: Other, once per person.

Affected Public: Individuals or households.

Annual Number of Respondents: 390.

Total Annual Responses: 390.

Average Burden Per Response: 15-minutes.

Total Annual Hours: 98.

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 document identifier, to [e-mail], or call the Reports Clearance Office on [phone]. 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 20503.

Dated: November 17, 2005.

Robert E. Polson,

Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer.