E8-28389. Agency Information Collection Request. 60-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 information collection request 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 [e-mail], or call the Reports Clearance Office on [phone]. Written comments and recommendations for the proposed information collections must be directed to the OS Paperwork Clearance Officer at the above e-mail address within 60-days.

Proposed Project: Evaluation of the National Bone Health Campaign Pilot Site Project—OMB No. 0990-NEW—Office on Women's Health (OWH)

Abstract: The Office on Women's Health (OWH) is requesting clearance for forms to evaluate the implementation and effectiveness of the revised BodyWorks program; an obesity prevention program targeting parents and girls that highlights behaviors known to improve bone health. Using a technical assistance model, the revised BodyWorks program will be implemented by local coalitions in three pilot sites. Clearance is also requested for forms to assess the success of this technical assistance model.

Estimated Annualized Burden Table

Type of respondent	Form name	Number of respondents	Number of responses per respondent	Average burden per response (in hours)	Total burden (in hours)
Parent/Caregiver participant in the Revised BodyWorks program	Parent/Caregiver Pre test Questionnaire	171	1	30/60	85.5
	Parent/Caregiver Post test Questionnaire	153	1	30/60	76.5
	Parent/Caregiver Session Evaluation Forms (10 forms)	153	10	3/60	76.5
Parent/Caregiver Revised BodyWorks program comparison group participant	Parent/Caregiver Pre test Questionnaire	63	1	30/60	31.5
	Parent/Caregiver Post test Questionnaire	50	1	30/60	25
Adolescent participant in the Revised BodyWorks program	Adolescent Pretest Questionnaire	228	1	30/60	114
	Adolescent Post test Questionnaire	204	1	30/60	102
	Adolescent Session Evaluation Forms (10 forms)	204	10	3/60	102
Adolescent Revised BodyWorks program comparison group participant	Adolescent Pre test Questionnaire	63	1	30/60	31.5
	Adolescent Post test Questionnaire	50	1	30/60	25
Trainers of the Revised BodyWorks program	Facilitator Feedback Forms (10 forms)	22	10	5/60	18.3
Coalition leaders, members, and site coordinators	Coalition Pre test Survey	86	1	20/60	28.7
	Coalition Post test Survey	72	1	30/60	36
Total Hours					752.5

John Teeter,

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