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

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Office of the Secretary, HHS.




In compliance with section 3507(a)(1)(D) of 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 renewal of the approved information collection assigned OMB control number 0990-0416, scheduled to expire on March 31, 201. 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.


Comments on the ICR must be received on or before April 10, 2017.


Submit your comments to or via facsimile to (202) 395-5806.

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Information Collection Clearance staff, or (202) 795-7714.

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When submitting comments or requesting information, please include the document identifier 0990-0416-30D for reference.

Information Collection Request Title: Pregnancy Assistance Fund (PAF) Performance Measures Collection.

OMB No.: 0990-0416.

Abstract: The Office of Adolescent Health (OAH), U.S. Department of Health and Human Services (HHS), is requesting an extension of a currently approved information collection request by OMB. The purpose of the renewal is to extend the period of collection through March 31, 2018 to complete the collection of the Pregnancy Assistance Fund (PAF) Performance Measures from grantees funded in August 2013, and to allow for data collection from 3 new PAF grantees funded in July 2015, increasing the number of respondents from 17 to 20. There are no changes to the data to be collected.

Need and Proposed Use of the Information: OAH will use the performance data to inform planning and resource allocation decisions; identify technical assistance needs; and provide 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—584 Hours

Form nameNumber of respondentsNumber of responses per respondentAverage burden per response (in hours)Total burden hours
Participant & Partner Characteristics (16 measures)20119380
Category 1 Measures (5 measures)31618
Category 2 Measures (7 measures)1819162
Category 3 Measures (3 measures)51315
Category 4 Measures (1 measure)9119
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Terry S. Clark,

Asst. Information Collection Clearance Officer.

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[FR Doc. 2017-04613 Filed 3-8-17; 8:45 am]