Federal Register / Vol. 69, No. 198 / Thursday, October 14, 2004 / Notices 61033

reporting requirements of the 

Government Performance and Results 

Act (GPRA) by allowing SAMHSA to 

quantify the effects and 

accomplishments of SAMHSA 

programs. In addition, the data will be 

useful in addressing goals and 

objectives outlined in ONDCP’s 

Performance Measures of Effectiveness. 

The revision of this data collection 

affects only the Center for Substance 

Abuse Treatment (CSAT). The proposed 

revision will modify the CSAT services 

instrument to include new questions on 

family characteristics, specific services 

and social connectedness to align with 

the SAMHSA Administrator’s seven 

domains for national outcomes 

measures. In addition, the data 

collection time points will change to 

intake, discharge, and 6 months post 

admission. It is estimated that an 

average of five minutes will be added to 

the response burden for each client. 

The following is the estimated annual 

response burden for this collection.

Center/number of annual clients-participants Responses per 

client/participant 

Hours per response Total hours Proportion of 

added burden 

Total hour

burden 

CMHS: 

3,750 ......................................................... 3 .33 3,713 0.70 2,599 

CSAP: 

12,150 ....................................................... 3 .33 12,029 0.72 8,661 

CSAT: 

26,031* ...................................................... 3 .42 32,799 0.47 15,416 

3,500** ...................................................... ***4 .42 5,880 0.47 2,765 

Total: 

45,431 ....................................................... ............................ ............................ ............................ ............................ 29,440 

Note:This is the maximum additional burden if all clients/participants complete three sets of items. CSAP and CSAT adolescent clients/participants do not usually receive all four data collections. Added burden proportion is an adjustment reflecting the extent to which programs typically 

already collect the data items. The formula for calculating the proportion of added burden is: Total number of items in the standard instrument 

minus the number of core GPRA items currently included divided by the total number of items in the standard instrument. 

*Adults. 

**Adolescents. 

***Four data collections for adolescents. 

Send comments to Summer King, 

SAMHSA Reports Clearance Officer, 

Room 7–1045, 1 Choke Cherry Road, 

Rockville, MD 20850. Written comments 

should be received by December 13, 

2004.

Dated: October 1, 2004. 

Anna Marsh, 

Executive Officer, SAMHSA.

[FR Doc. 04–23026 Filed 10–13–04; 8:45 am] 

BILLING CODE 4162–20–P

DEPARTMENT OF HOMELAND 

SECURITY 

Office for Civil Rights and Civil 

Liberties; Submission for New 

Information Collection, DHS Individual 

Complaint of Employment 

Discrimination Form (DHS 3090–1)

ACTION: Notice; 60-day notice request for 

comments. 

SUMMARY: The Department of Homeland 

Security (DHS) invites the general 

public and other federal agencies the 

opportunity to comment on new 

information collection request (ICR), 

DHS Individual Complaint of 

Employment Discrimination form (DHS 

Form 3090–1). As required by the 

Paperwork Reduction Act of 1995, (Pub. 

L. 104–13, 44 U.S.C. chapter 35) DHS is 

soliciting comments for the new 

information collection request.

DATES: Written comments should be 

received on or before December 13, 2004 

to be assured consideration.

ADDRESSES: You may submit comments, 

identified by docket number DHS–

2004–0003, by one of the following 

methods: 

• EPA Federal Partner EDOCKET 

Web site: http://www.epa.gov/

feddocket. Follow instructions for 

submitting comments on the Web site. 

The Department of Homeland 

Security has joined the Environmental 

Protection Agency (EPA) online public 

docket and comment system on its 

Partner Electronic Docket System 

(Partner EDOCKET). The Department of 

Homeland Security and its agencies 

(excluding the United States Coast 

Guard and Transportation Security 

Administration) will use the EPA 

Federal Partner EDOCKET system. The 

USCG and TSA [legacy Department of 

Transportation (DOT) agencies] will 

continue to use the DOT Docket 

Management System until full migration 

to the electronic rulemaking federal 

docket management system in 2005. 

• Federal eRulemaking Portal: http://

www.regulations.gov. Follow the 

instructions for submitting comments. 

• E-mail: mary.mcgoldrick@dhs.gov.

Include docket number DHS–2004–0003 

in the subject line of the message. 

• Fax: (202) 772–9860 

• Mail: Department of Homeland 

Security, Attention: Office of Civil 

Rights and Civil Liberties, Anacostia 

Naval Annex, 245 Murray Drive, 

Building 410, Washington, DC 20528. 

• Hand Delivery/Courier: Department 

of Homeland Security, Attention: Office 

of Civil Rights and Civil Liberties, 

Anacostia Naval Annex, 245 Murray 

Drive, Building 410, Washington, DC 

20528. 

Instructions: All submissions received 

must include the agency name and 

docket number (if available) or 

Regulatory Information Number (RIN) 

for this rulemaking. All comments 

received will be posted without change 

to http://www.epa.gov/feddocket,

including any personal information 

provided. For detailed instructions on 

submitting comments and additional 

information on the rulemaking process, 

see the ‘‘Public Participation’’ heading 

of the SUPPLEMENTARY INFORMATION

section of this document. 

Docket: For access to the docket to 

read background documents or 

comments received, go to http://

www.epa.gov/feddocket. You may also 

access the Federal eRulemaking Portal 

at http://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT:

Mary McGoldrick, (202) 772–9921 (this 

is not a toll free number).

SUPPLEMENTARY INFORMATION: Direct all 

written comments to both the 

Department of Homeland Security and 

the Office of Information and Regulatory 

Affairs at the addresses listed in this 

notice. A copy of this ICR, with 

applicable supporting documentation, 

may be obtained by calling the contact 

listed above. 

61034 Federal Register / Vol. 69, No. 198 / Thursday, October 14, 2004 / Notices 

The Office of Management and Budget 

is particularly interested in comments 

which: 

(1) Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

(2) Evaluate the accuracy of the 

agency’s estimate of burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

(3) Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

(4) Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submissions 

of responses. 

Analysis 

Agency: Department of Homeland 

Security, Office for Civil Rights and 

Civil Liberties. 

Title: DHS Individual Complaint of 

Employment Discrimination Form. 

OMB Number: NEW. 

Form Number: DHS Form 3090–1. 

Frequency: On occasion. 

Affected Public: Federal Government 

and individuals or households. 

Estimated Number of Respondents:

1,200. 

Estimated Time Per Response: 30 

minutes per response. 

Total Burden Hours: 600. 

Total Cost Burden: None. 

Description: This form will allow a 

complainant to submit required 

information used by the Department to 

process an employment discrimination 

complaint with the Department of 

Homeland Security. The information 

contained in this form will allow the 

Department to accept, investigate and 

further process, or to dismiss issues.

Dated: October 7, 2004. 

Steve Cooper, 

Chief Information Officer.

[FR Doc. 04–23014 Filed 10–13–04; 8:45 am] 

BILLING CODE 4410–10–P

DEPARTMENT OF HOMELAND 

SECURITY 

Bureau of Citizenship and Immigration 

Services 

Agency Information Collection 

Activities: Comment Request

ACTION: Notice of information collection 

under review: application to adjust 

status from temporary to permanent 

resident. 

The Department Homeland Security, 

Bureau of Citizenship and Immigration 

Services has submitted the following 

information collection request for 

review and clearance in accordance 

with the Paperwork Reduction Act of 

1995. This notice is published to obtain 

comments from the public and affected 

agencies. Comments are encouraged and 

will be accepted for sixty days until 

December 13, 2004. 

Written comments and suggestions 

from the public and affected agencies 

concerning the proposed collection of 

information should address one or more 

of the following four points: 

(1) Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

(2) Evaluate the accuracy of the 

agencies estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

(3) Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

(4) Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submission of 

responses. 

Overview of this information 

collection: 

(1) Type of Information Collection:

Extension of currently approved 

collection. 

(2) Title of the Form/Collection:

Application to Adjust Status from 

Temporary to Permanent Resident. 

(3) Agency form number, if any, and 

the applicable component of the 

Department of Justice sponsoring the 

collection: Form I–698, Adjudications 

Division, Immigration and 

Naturalization Service. 

(4) Affected public who will be asked 

or required to respond, as well as a brief 

abstract: Primary: Individuals or 

Households. The data collected on this 

form is used by the Service to determine 

an applicant’s eligibility to adjust status 

from temporary to permanent resident. 

(5) An estimate of the total number of 

respondents and the amount of time 

estimated for an average respondent to 

respond: 1,179 responses at 1 hour per 

response. 

(6) An estimate of the total public 

burden (in hours) associated with the 

collection: 1,179 annual burden hours. 

If you have additional comments, 

suggestions, or need a copy of the 

proposed information collection 

instrument with instructions, or 

additional information, please contact 

Richard A. Sloan 202–616–7600, 

Director, Regulatory Management 

Division, Department of Homeland 

Security, 111 Massachusetts Avenue, 

NW., Washington, DC 20529. 

Additionally, comments and/or 

suggestions regarding the item(s) 

contained in this notice, especially 

regarding the estimated public burden 

and associated response time may also 

be directed to Mr. Richard A. Sloan.

Dated: October 7, 2004. 

Richard A. Sloan, 

Department Clearance Officer, Department of 

Homeland Security, Bureau of Citizenship 

and Immigration Services.

[FR Doc. 04–23040 Filed 10–13–04; 8:45 am] 

BILLING CODE 4410–10–M

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

[USCG–2004–19353] 

Lower Mississippi River Waterway 

Safety Advisory Committee

AGENCY: Coast Guard, DHS.

ACTION: Notice of meeting.

SUMMARY: The Lower Mississippi River 

Waterway Safety Advisory Committee 

(LMRWSAC) will meet to discuss 

various issues relating to navigational 

safety on the Lower Mississippi River 

and related waterways. The meeting 

will be open to the public.

DATES: The next meeting of LMRWSAC 

will be held on Tuesday, November 16, 

2004, from 9 a.m. to 12 noon. This 

meeting may adjourn early if all 

business is finished. Requests to make 

oral presentations or submit written 

materials for distribution at the meeting 

should reach the Coast Guard on or 

before November 9, 2004. Requests to 

have a copy of your material distributed 

to each member of the committee in