Federal Register / Vol. 69, No. 247 / Monday, December 27, 2004 / Notices 77249

SUPPLEMENTARY INFORMATION: 

A. Purpose 

GSA Form 3357 is needed by GSA 

contract and staff appraisers who use 

the form for estimating parking rates 

assessed on Federal agencies occupying 

space in GSA owned or controlled 

buildings. 

B. Annual Reporting Burden 

Respondents: 260.

Responses Per Respondent: 5.

Total Responses: 1300.

Hours Per Response: 1.6.

Total Burden Hours: 2,080.

Obtaining Copies of Proposals:

Requesters may obtain a copy of the 

information collection documents from 

the General Services Administration, 

Regulatory Secretariat (V), 1800 F Street, 

NW., Room 4035, Washington, DC 

20405, telephone (202) 208–7312. Please 

cite OMB Control No. 3090–0043, GSA 

Form 3357, Appraisal of Fair Annual 

Parking Rate Per Space for Standard 

Level User Charge, in all 

correspondence.

Dated: December 17, 2004. 

Michael W. Carleton, 

Chief Information Officer.

[FR Doc. 04–28181 Filed 12–23–04; 8:45 am] 

BILLING CODE 6820–23–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

[Document Identifier: OS–0990–New] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request

AGENCY: Office of the Secretary. 

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 

proposed collections 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. 

Type of Information Collection 

Request: New Collection, Regular; 

Title of Information Collection:

Prevention Communication Formative 

Research; 

Form/OMB No.: OS–0990–New; 

Use: This information will be used as 

formative research to develop messages 

and materials in support of the 

development of disease prevention and 

health promotion information, 

including the 2005 Dietary Guidelines. 

It is necessary to obtain consumer input 

to better understand the information 

needs, attitudes and beliefs of the 

audience in order to tailor messages, as 

well as to assist with clarity, 

understandability and acceptance of 

prototyped messages and materials. This 

generic clearance request describes data 

collection activities involving a limited 

set of consumer interviews, focus 

groups, Web concept testing, and 

usability and effects testing of 

prevention content. 

Frequency: Reporting and on 

occasion; 

Affected Public: Individuals or 

households; 

Annual Number of Respondents: 871; 

Total Annual Responses: 871; 

Average Burden Per Response: 2.4; 

Total Annual Hours: 2,100; 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access the HHS Web 

site address at http://www.hhs.gov/

oirm/infocollect/pending/ or e-mail your 

request, including your address, phone 

number, OMB number, and OS 

document identifier, to 

naomi.cook@hhs.gov, or call the Reports 

Clearance Office on (202) 690–6162. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

within 60 days of this notice directly to 

the OS Paperwork Clearance Officer 

designated at the following address: 

Department of Health and Human 

Services, Office of the Secretary, 

Assistant Secretary for Budget, 

Technology, and Finance, Office of 

Information and Resource Management, 

Attention: Naomi Cook (0990–New), 

Room 531–H, 200 Independence 

Avenue, SW., Washington DC 20201.

Dated: December 15, 2004. 

Robert E. Polson, 

Office of the Secretary, Paperwork Reduction 

Act Reports Clearance Officer.

[FR Doc. 04–28120 Filed 12–23–04; 8:45 am] 

BILLING CODE 4168–17–P

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

[Document Identifier: OS–0990–New] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request

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 

proposed collections 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. 

Type of Information Collection 

Request: New Collection. 

Title of Information Collection: Wave 

4 Survey of Youth for the Federal 

Evaluation of Initiatives Funded Under 

Section 510 of the Maternal and Child 

Health Block Grant. 

Form/OMB No.: OS–0990–New. 

Use: This data collection will support 

the Health and Human Services’ effort 

to document the impact of a select 

group of programs funded through the 

abstinence education provisions of the 

Personal Responsibility and Work 

Opportunity Reconciliation Act of 1996 

as part of the Congressionally mandated 

evaluation of these programs. 

Frequency: Reporting. 

Affected Public: State, local, or tribal 

governments, individuals or 

households, not for profit institutions. 

Annual Number of Respondents:

2,569. 

Total Annual Responses: 2,569. 

Average Burden Per Response: 30 

minutes. 

Total Annual Hours: 1,285. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access the HHS Web 

site address at http://www.hhs.gov/

oirm/infocollect/pending/ or e-mail your 

request, including your address, phone 

number, OMB number, and OS