[Federal Register Volume 64, Number 33 (Friday, February 19, 1999)]
[Notices]
[Page 8376]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-4028]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
The Department of Health and Human Services, Office of the
Secretary publishes a list of information collections it has submitted
to the Office of Management and Budget (OMB) for clearance in
compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter
35) and 5 CFR 1320.5. The following are those information collections
recently submitted to OMB.
Title and Description of Information Collection: Multi-site
Evaluation of the Welfare-to-Work Grants Program--Baseline Forms--NEW--
As required by the Balanced Budget Act of 1997, DHHS is planning a
four-year project to evaluate the effectiveness of welfare-to-work
initiatives undertaken through competitive and formula grants awarded
by the US Department of Labor. DHHS' Office of the Assistant Secretary
for Planning and Evaluation, in conjunction with DoL and the US
Department of Housing and Urban Development (HUD), has designed an
evaluation that will involve several rounds of data collection from
grantees and grant program participants. The information collection
instruments in this request for OMB approval consist of a sample intake
form, a contact information form, and a study participation consent
form to be used to gather baseline and administrative information on
study participants. Respondents: Individuals, State and Local
Governments, Businesses or Other For-profit Organizations, Not-for-
profit Institutions; Burden Information for the Intake Form--Number of
Respondents: 10,000; Number of Responses per Respondent: one; Average
Burden per Response: 5 minutes; Total Burden for Intake Form: 830
hours--Burden Information for the Contact Information Form--Number of
Respondents: 10,000; Number of Responses per Respondent: one; Average
Burden per Response: 5 minutes: Total Burden for Contact Information
Form: 830 hours--Burden Information for the Consent Form--Number of
Respondents: 10,000; Number of Responses per Respondent: one; Average
Burden per Response: 5 minutes: Total Burden for Consent Form: 830
hours. Total Burden: 2,490 hours. Total Annual Burden: 1,245 hours.
OMB Desk Officer: Allison Eydt
Copies of the information collection packages listed above can be
obtained by calling the OS Reports Clearance Officer on (202) 690-6207.
Written comments and recommendations for the proposed information
collection should be sent directly to the OMB desk officer designated
above at the following address: Human Resources and Housing Branch,
Office of Management and Budget, New Executive Office Building, Room
10235, 725 17th Street NW., Washington, DC 20503.
Comments may also be sent to Cynthia Agens Bauer, OS Reports
Clearance Officer, Room 503H, Humphrey Building, 200 Independence
Avenue SW., Washington, DC 20201. Written comments should be received
within 30 days of this notice.
Dated: February 11, 1999.
Dennis P. Williams,
Deputy Assistant Secretary, Budget.
[FR Doc. 99-4028 Filed 2-18-99; 8:45 am]
BILLING CODE 4150-04-M
