76 FR 101 pgs. 30363-30364 - Agency Information Collection Request. 30-Day Public Comment Request
Type: NOTICEVolume: 76Number: 101Pages: 30363 - 30364
Docket number: [Document Identifier: OS-0990-New; 30-day notice]
FR document: [FR Doc. 2011-12900 Filed 5-24-11; 8:45 am]
Agency: Health and Human Services Department
Official PDF Version: PDF Version
DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Document Identifier: OS-0990-New; 30-day notice]
Agency Information Collection Request. 30-Day Public Comment Request
May 20, 2010.
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 collection 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 Sherette.funncoleman@hhs.gov , or call the Reports Clearance Office on (202) 690-5683. Send written comments and recommendations for the proposed information collections within 30 days of this notice directly to the OS OMB Desk Officer; faxed to OMB at 202-395-5806.
Proposed Project: Multi-Component Evaluation of the BodyWorks Program-OMB No. 0990-NEW-Office on Women's Health (OWH)
Abstract: Office on Women's Health (OWH) is requesting clearance for forms for a multi-component 3.5 year evaluation of the BodyWorks Program. These forms will support three evaluation tasks: (1) Conducting a onetime follow-up study of trainers and parents previously involved in BodyWorks; (2) Conducting a onetime pilot test of a post-only survey tool to be added to the BodyWorks toolkit/resources; and, (3) conducting a full evaluation of the revised BodyWorks program, including pre, post and follow-up components as well as similar tests of the Spanish BodyWorks program.
| Type of respondent | Data collection name | Number of respondents | Number of responses per respondent | Average burden per response (in hours) | Total burden (in hours) |
|---|---|---|---|---|---|
| BodyWorks program participants | Parent/Caregiver Follow-Up Study Questionnaire | 450 | 1 | 10/60 | 75 |
| Parent/Caregiver Follow-Up Study Focus Group | 18 | 1 | 60/60 | 18 | |
| English & Spanish Participant Exit Survey-Post Only Pilot Study | 100 | 1 | 10/60 | 17 | |
| English and Spanish Participant Pretests-Full Evaluation | 408 | 1 | 20/60 | 136 | |
| English and Spanish Participant Posttests-Full Evaluation | 300 | 1 | 20/60 | 100 | |
| English and Spanish Participant Follow-ups-Full Evaluation | 256 | 1 | 20/60 | 85 | |
| English and Spanish Participant Session Feedback Forms-Full Evaluation | 300 | 8 | 5/60 | 200 | |
| English and Spanish BodyWorks program comparison group participant | English and Spanish Participant Pretests-Full Evaluation | 408 | 1 | 20/60 | 136 |
| English and Spanish Participant Posttests-Full Evaluation | 300 | 1 | 20/60 | 100 | |
| English and Spanish Participant Follow-ups-Full Evaluation | 256 | 1 | 20/60 | 85 | |
| Trainers of the BodyWorks program | Trainer Follow-Up Study Questionnaire | 1,250 | 1 | 20/60 | 417 |
| Trainer Follow-Up Study Interview | 15 | 1 | 60/60 | 15 | |
| Trainer Exit Survey Satisfaction Interview-Post only pilot study | 10 | 1 | 30/60 | 5 | |
| Trainer Feedback Forms-Full Evaluation | 30 | 8 | 5/60 | 20 | |
| Total Project Burden Hours | 1,409 |
Mary Forbes,
Office of the Secretary,Paperwork Reduction Act Clearance Officer.
[FR Doc. 2011-12900 Filed 5-24-11; 8:45 am]
BILLING CODE 4150-33-P