68378 Federal Register / Vol. 69, No. 226 / Wednesday, November 24, 2004 / Notices 

compliance with the Government 

Performance and Results Act. 

Respondents: State and Tribal 

Governments.

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses 

per

respondent 

Average burden hours 

per response 

Total burden 

hours 

P&A SGP ................................................................................................................. 57 1 44 2,508 

Estimated Total Annual Burden 

Hours: 2,508. 

In compliance with the requirements 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Administration, 

Office of Information Services, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. E-mail address: 

grjohnson@acf.hhs.gov. All requests 

should be identified by the title of the 

information collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication.

Dated: November 17, 2004. 

Robert Sargis, 

Reports Clearance Officer.

[FR Doc. 04–25992 Filed 11–23–04; 8:45 am] 

BILLING CODE 4184–01–M

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: National Medical Support 

Notice. 

OMB No.: 0970–0222. 

Description: The information 

collected by state IV–D child support 

enforcement agencies is used to 

complete the National Medical Support 

Notice (NMSV) that is sent to employers 

of employee/obligors and used as a 

means of enforcing the health care 

coverage provision in a child support 

order. Primarily, the information the 

state child support enforcement 

agencies use to complete the NMSN is 

information regarding appropriate 

persons that is necessary for the 

enrollment of the child in employmentrelated health care coverage, such as the 

employee/obligor’s name, address, and 

Social Security number; the employer’s 

name and address; the name and 

address of the alternate recipient (child); 

the custodial parent’s name and 

address. The employer forwards the 

second part of the NMSN to the group 

health plan administrator, which 

contains the same individual identifying 

information. The plan administrator 

requires this information to determine 

whether to enroll the alternate recipient 

in the group health plan. If necessary, 

the employer also initiates withholding 

from the employee’s wages for the 

purpose of paying premiums to the 

group health plan for enrollment of the 

child. 

Respondents: State and local title IV–

D child support enforcement agencies 

initiate the process of enforcing medical 

health care coverage for the child by 

completing and sending the notice to 

known employers of the noncustodial 

parents (employee/obligor). Employers 

and plan administrators are on the 

receiving end of the notice.

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses 

per

respondent 

Average burden hours 

per response 

Total burden 

hours 

45CFR303.32 ........................................................................................................... 54 13,454 .17 123,507 

Estimated Total Annual Burden 

Hours: 123,507. 

Additional Information: Copies of the 

proposed collection may be obtained by 

writing to the Administration for 

Children and Families, Office of 

Administration, Office of Information 

Services, 370 L’Enfant Promenade, SW., 

Washington, DC 20447, Attn: ACF 

Reports Clearance Officer. All requests 

should be identified by the title of the 

information collection. E-mail address: 

grjohnson@acf.hhs.gov.

OMB Comment: OMB is required to 

make a decision concerning the 

collection of information between 30 

and 60 days after publication of this 

document in the Federal Register. 

Therefore, a comment is best assured of 

having its full effect if OMB received it 

within 30 days of publication. Written 

comments and recommendations for the 

proposed information collection should 

be sent directly to the following: Office 

of Management and Budget, Paperwork 

Reduction Project, Attn: Desk Officer for 

ACF, E-Mail address: 

Katherine_T._Astrich@omb.eop.gov.

Dated: November 17, 2004. 

Robert Sargis, 

Reports Clearance Officer.

[FR Doc. 04–25993 Filed 11–23–04; 8:45 am] 

BILLING CODE 4184–01–M