Skip to Content


Agency Information Collection Activities: Proposed Collection; Comment Request

Document Details

Information about this document as published in the Federal Register.

Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

Start Preamble


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.

Type of Information Collection Request: New Collection.

Title of Information Collection: Wave 4 Survey of Youth for the Federal Evaluation of Initiatives Funded Under Section 510 of the Maternal and Child Health Block Grant.

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

Use: This data collection will support the Health and Human Services' effort to document the impact of a select group of programs funded through the abstinence education provisions of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 as part of the Congressionally mandated evaluation of these programs.

Frequency: Reporting.

Affected Public: State, local, or tribal governments, individuals or households, not for profit institutions.

Annual Number of Respondents: 2,569.

Total Annual Responses: 2,569.

Average Burden Per Response: 30 minutes.

Total Annual Hours: 1,285.

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​oirm/​infocollect/​pending/​ or e-mail your request, including your address, phone number, OMB number, and OS Start Printed Page 77250document identifier, to, or call the Reports Clearance Office at (202) 690-8356. 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 20201.

Start Signature

Dated: December 15, 2004.

Robert E. Polson,

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

End Signature End Preamble

[FR Doc. 04-28121 Filed 12-23-04; 8:45 am]