Federal Register / Vol. 76, No. 9 / Thursday, January 13, 2011 / Notices 2393 

EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN

Activity/data collection Number of respondents 

Total burden 

hours 

Average hourly wage rate 1

Total cost 

burden 

RAAPS questionnaire ...................................................................................... 310 97 $9.01 2 $874 

Extraction of medical record data .................................................................... 4 32 18.15 3 581 

Consent-assent form ....................................................................................... 776 194 22.11 4 4,289 

Adolescent behavior and communication survey ............................................ 233 117 9.01 2 1,054 

Post-visit satisfaction survey ............................................................................ 310 32 9.01 2 288 

Adolescent focus groups ................................................................................. 8 48 9.01 2 432 

Adolescent ‘‘think-aloud’’ sessions .................................................................. 8 12 9.01 2 108 

Clinician semi-structured interviews ................................................................ 4 4 84.53 5 338 

Administrator-staff semi-structured interviews ................................................. 4 4 29.63 6 119 

Semi-structured interviews for the draft manual .............................................. 4 8 64.75 7 518 

Total .......................................................................................................... 1,661 548 na 8,601 

1 Mean hourly and wage costs for Colorado were derived from the Bureau of Labor and Statistics National Compensation Survey for May 2009 

(http://www.bls.gov/oes/current/oes_co.htrn). 2 Hourly rate for an entry level worker (occupation code 3 5–0000) estimates the cost of time for adolescents, although many will not be employed. 3 Hourly rate for medical records and health information technician (29–2071). 

4 Hourly rate for the mean for all occupations (00–0000) estimates the cost of time for the parent or guardian of the adolescent.

5Average of hourly rates for a family medicine practitioner (29–1062) and a general internist (29–1063). 

6Average of (1) the hourly rate for a medical and health services manager (11–9111) and (2) the average of the hourly rates for a receptionist 

(43–4171) and a medical assistant (31–9092). 7Average of (1) the hourly rate for a medical and health services manager (11–9110) and (2) the average of the hourly rates for a family medicine practitioner (29–1062) and a general internist (29–1063). 

Estimated Annual Costs to the Federal 

Government 

Exhibit 3 shows the estimated total 

and annualized cost to the Federal 

Government for conducting this 

research. These estimates include the 

costs associated with the project such as 

the preparation of survey administration 

procedures, labor costs, administrative 

expenses, costs associated with copying, 

postage, and telephone expenses, data 

management and analysis, and 

preparation of final reports. The 

annualized and total costs are identical 

since the data collection period will last 

for one year. The total cost is estimated 

to be $436,524. 

EXHIBIT 3—ESTIMATED TOTAL AND ANNUALIZED COST

Cost component Total cost Annualized cost 

Project Development ................................................................................................................................... $72,364 $72,364 

Data Collection Activities ............................................................................................................................. 48,904 48,904 

Data Processing and Analysis ..................................................................................................................... 73,937 73,937 

Publication of Results .................................................................................................................................. 21,890 21,890 

Project Management .................................................................................................................................... 75,733 75,733 

Overhead ..................................................................................................................................................... 143,696 143,696 

Total ...................................................................................................................................................... 436,524 436,524 

Request for Comments 

In accordance with the above-cited 

Paperwork Reduction Act legislation, 

comments on AHRQ’s information 

collection are requested with regard to 

any of the following: (a) Whether the 

proposed collection of information is 

necessary for the proper performance of 

AHRQ healthcare research and 

healthcare information dissemination 

functions, including whether the 

information will have practical utility; 

(b) the accuracy of AHRQ’ s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 

information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. All 

comments will become a matter of 

public record. 

Dated: January 4, 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–408 Filed 1–12–11; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–11–0338] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 


srobinson on DSKHWCL6B1PROD with NOTICES
2394 Federal Register / Vol. 76, No. 9 / Thursday, January 13, 2011 / Notices 

DC or by fax to (202) 395–5806. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

Annual Submission of the Ingredients 

Added to, and the Quantity of Nicotine 

Contained in, Smokeless Tobacco 

Manufactured, Imported, or Packaged in 

the U.S. (OMB No. 0920–0338, exp. 4/ 

30/2011)—Extension—National Center 

for Chronic Disease Prevention and 

Health Promotion (NCCDPHP), Centers 

for Disease Control and Prevention 

(CDC). 

Background and Brief Description 

The Centers for Disease Control and 

Prevention (CDC), Office on Smoking 

and Health (OSH) has the primary 

responsibility for the Department of 

Health and Human Services (HHS) 

smoking and health program. HHS’s 

overall goal is to reduce death and 

disability resulting from the use of 

smokeless tobacco products and other 

forms of tobacco use through programs 

of information, education and research. 

Since 1994, as required by the 

Comprehensive Smokeless Tobacco 

Education Act of 1986 (CSTHEA, 15 

U.S.C. 4401 et seq., Pub. L. 99–252), 

CDC has collected information about the 

ingredients used in smokeless tobacco 

products and their nicotine content. 

Respondents are commercial smokeless 

tobacco product manufacturers, 

packagers, or importers (or their 

representatives), who are required by 

the CSTHEA to submit ingredient 

reports to HHS on an annual basis. 

Respondents are not required to 

submit specific forms; however, they are 

required to meet reporting guidelines 

and to submit the ingredient report by 

chemical name and Chemical Abstract 

Service (CAS) Registration Number, 

consistent with accepted reporting 

practices for other companies currently 

required to report ingredients added to 

other consumer products. Typically, 

respondents submit a summary report to 

CDC with the ingredient information for 

multiple products, or a statement that 

there are no changes to their previously 

submitted ingredient report. 

Ingredient reports for new products 

are due at the time of first importation. 

Thereafter, ingredient reports are due 

annually on March 31. Information is 

submitted to OSH by mailing a written 

report on the respondent’s letterhead, by 

CD, three-inch floppy disk, or thumb 

drive. Electronic mail submissions are 

not accepted. 

Upon receipt and verification of the 

annual ingredient and nicotine data 

reports, OSH issues a Certificate of 

Compliance to the respondent. OSH also 

uses the information to report to the 

Congress (as deemed appropriate) 

discussing the health effects of these 

ingredients. 

In this Extension request, there no 

changes to the estimated number of 

respondents, the estimated burden per 

response, or the information collection 

methods. There are no costs to 

respondents other than their time. The 

total estimated annualized burden hours 

are 18,843. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Smokeless Tobacco Manufacturers, Packagers, and Importers ................................................ 11 1 1,713 

Dated: January 6, 2011. 

Carol E. Walker, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2011–470 Filed 1–12–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: Evaluation of the Head Start 

Safe Families Safe Homes Training 

Curriculum. 

OMB No.: New Collection. 

Description: The purpose of this 

collection is to examine the 

implementation of the Head Start Safe 

Families Safe Homes domestic violence 

training curriculum. The Office of Head 

Start, within the Administration for 

Children and Families (ACF) of the 

Department of Health and Human 

Services (HHS), is partnering with the 

Division of Family Violence Prevention 

of the Family and Youth Services 

Bureau of the Administration on 

Children, Youth and Families, also 

located within ACF, in an effort to 

expand the knowledge base of Head 

Start staff and build stronger 

partnerships with domestic violence 

service providers in local communities. 

Teams of trainers in each of five states 

will lead training sessions for 50 

participants. The follow-up evaluation 

will examine implementation of the 

training curriculum; changes in 

participant knowledge and changes in 

communication; collaboration; and 

service delivery related to domestic 

violence. All participants in the local 

trainings will be asked to complete 

several brief surveys, which will be 

conducted online or by phone. A 

subsample of participants will also be 

asked to complete a semi-structured 

phone interview. 

Respondents: Head Start staff. 

ANNUAL BURDEN ESTIMATES

Instrument 

Annual 

number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

hours per 

response 

Total annual 

burden hours 

Knowledge of Domestic Violence Survey ...................................................... 250 1 .25 63 

Collaboration Quality Survey ......................................................................... 250 1 .25 63 

Services & Referrals Survey ......................................................................... 250 1 .125 31 

Domestic Violence Knowledge, Attitudes, and Practices: Semi-Structured 

Interview ..................................................................................................... 20 1 .5 10 


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