Federal Register / Vol. 74, No. 179 / Thursday, September 17, 2009 / Notices 47801 

B. Certificate of Compliance: Total 

filers (executive branch): 10; private 

citizen filers (100%): 10; private citizen 

burden hours (20 minutes/certificate): 3; 

and 

ii. Model Qualified Trust Documents: 

A. Blind Trust Communications: Total 

users (executive branch): 5; private 

citizen users (100%): 5; 

communications documents (private 

citizens): 25 (based on an average of five 

communications per user, per year); 

private citizen burden hours (20 

minutes/communication): 8. 

B. Model Qualified Blind Trust: Total 

users (executive branch): 2; private 

citizen users (100%): 2; private citizen 

burden hours (100 hours/model): 200. 

C. Model Qualified Diversified Trust: 

Total users (executive branch): 1; 

private citizen users (100%): 1; private 

citizen burden hours (100 hours/model): 

100. 

D.–H. Of the five remaining model 

qualified trust documents: total users 

(executive branch): 2; private citizen 

users (100%): 2; private citizen burden 

hours (100 hours/model): 200. 

I.–J. Of the two model confidentiality 

agreements: total users (executive 

branch): 1; private citizen users (100%): 

1; private citizen burden hours (50 

hours/agreement): 50. 

However, the total annual reporting 

hour burden on filers themselves is zero 

and not the 563 hours estimated above 

because OGE’s estimating methodology 

reflects the fact that all respondents hire 

private trust administrators or other 

private representatives to set up and 

maintain the qualified blind and 

diversified trusts. Respondents 

themselves, typically incoming private 

citizen Presidential nominees, therefore 

incur no hour burden. The estimated 

total annual cost burden to respondents 

resulting from the collection of 

information is $1,000,000. Those who 

use the model documents for guidance 

are private trust administrators or other 

private representatives hired to set up 

and maintain the qualified blind and 

diversified trusts of executive branch 

officials who seek to establish such 

qualified trusts. The cost burden figure 

is based primarily on OGE’s knowledge 

of the typical trust administrator fee 

structure (an average of 1 percent of 

total assets) and OGE’s experience with 

administration of the qualified trust 

program. The $1,000,000 annual cost 

figure is based on OGE’s estimate of an 

average of five possible active trusts 

anticipated to be under administration 

for each of the next two years with 

combined total assets of $100,000,000. 

However, OGE notes that the $1,000,000 

figure is a cost estimate for the overall 

administration of the trusts, only a 

portion of which relates to information 

collection and reporting. For want of a 

precise way to break out the costs 

directly associated with information 

collection, OGE is continuing to report 

to OMB the full $1,000,000 estimate for 

paperwork clearance purposes. 

Public comment is invited on each 

aspect of the model qualified trust 

certificates and model trust documents, 

and underlying regulatory provisions, as 

set forth in this notice, including 

specific views on the need for and 

practical utility of this set of collections 

of information, the accuracy of OGE’s 

burden estimate, the potential for 

enhancement of quality, utility and 

clarity of the information collected, and 

the minimization of burden (including 

the use of information technology). 

Comments received in response to 

this notice will be summarized for, and 

may be included with, the OGE request 

for extension of the OMB paperwork 

approval for the set of the various 

existing qualified trust model 

certificates, the model communications 

package, and the model trust 

documents. The comments will also 

become a matter of public record. 

Approved: September 4, 2009. 

Robert I. Cusick, 

Director, Office of Government Ethics. 

[FR Doc. E9–22266 Filed 9–16–09; 8:45 am] 

BILLING CODE 6345–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Request for Public Comment: 60–Day 

Proposed Information Collection: 

Indian Health Service Contract Health 

Services Report 

AGENCY: Indian Health Service. 

ACTION: Notice. 

SUMMARY: In compliance with Section 

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

Reduction Act of 1995 which requires a 

60-day advance opportunity for public 

comment on the proposed information 

collection project, the Indian Health 

Service (IHS) is publishing for comment 

a summary of a proposed information 

collection to be submitted to the Office 

of Management and Budget (OMB) for 

review. 

Proposed Collection: Title: 0917– 

0002, ‘‘Indian Health Service Contract 

Health Services Report.’’ Type of 

Information Collection Request: Three 

year renewal, with change of currently 

approved information collection, 0917– 

0002, ‘‘Indian Health Service Contract 

Health Services Report’’ Form 

Number(s): IHS–843–1A. Reporting 

formats are contained in an IHS 

Contract Health Services Manual 

Exhibit and IHS Web site. Need and Use 

of Information Collection: The IHS 

Contract Health Services Program needs 

this information to certify that the 

health care services requested and 

authorized by the IHS have been 

performed by the Contract Health 

Services provider(s); to have providers 

validate services provided; to process 

payments for health care services 

performed by such providers; and to 

serve as a legal document for health and 

medical care authorized by IHS and 

rendered by health care providers under 

contract with the IHS. 

Affected Public: Patients, health and 

medical care providers or Tribal 

Governments. 

Type of Respondents: Health and 

medical care providers. 

The table below provides: Types of 

data collection instruments, Estimated 

number of respondents, Number of 

responses per respondent, Annual 

number of responses, Average burden 

hour per response, and Total annual 

burden hours. 

Data collection instrument(s) 

Estimated 

number of 

respondents 

Responses 

per 

respondent 

Annual 

number of 

responses 

Average burden hour 

per 

response* 

Total annual 

burden hours 

IHS–843–1A ......................................................................... 7,424 51 326,145 0.05 (3 mins) 16,307 

IDS** .................................................................................... 15,157 1 15,157 0.05 (3 mins) 757 

Total .............................................................................. 22,581 ........................ ........................ ........................ 17,064 

* For ease of understanding, burden hours are also provided in actual minutes. 

** Inpatient Discharge Summary (IDS) 


cprice-sewell on DSK2BSOYB1PROD with NOTICES
47802 Federal Register / Vol. 74, No. 179 / Thursday, September 17, 2009 / Notices 

There are no Capital Costs, Operating 

Costs, and/or Maintenance Costs to 

report. 

Request for Comments: Your written 

comments and/or suggestions are 

invited on one or more of the following 

points: (a) Whether the information 

collection activity is necessary to carry 

out an agency function; (b) whether the 

IHS processes the information collected 

in a useful and timely fashion; (c) the 

accuracy of the public burden estimate 

(this is the amount of time needed for 

individual respondents to provide the 

requested information); (d) whether the 

methodology and assumptions used to 

determine the estimate are logical; (e) 

ways to enhance the quality, utility, and 

clarity of the information being 

collected; and (f) ways to minimize the 

public burden through the use of 

automated, electronic, mechanical, or 

other technological collection 

techniques or other forms of information 

technology. 

Send Comments and Requests for 

Further Information: Send your written 

comments and requests for more 

information on the proposed collection 

or requests to obtain a copy of the data 

collection instrument and instructions 

to: Ms. Betty Gould, Reports Clearance 

Officer, 801 Thompson Avenue, TMP, 

Suite 450, Rockville, MD 20852, call 

non-toll free (301) 443–7899, send via 

facsimile to (301) 443–9879, or send 

your e-mail requests, comments, and 

return address to: Betty.Gould@ihs.gov. 

Comment Due Date: Your comments 

regarding this information collection are 

best assured of having full effect if 

received within 60 days of the date of 

this publication. 

Dated: September 3, 2009. 

Yvette Roubideaux, 

Director, Indian Health Service. 

[FR Doc. E9–22271 Filed 9–16–09; 8:45 am] 

BILLING CODE 4165–16–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–09–0669] 

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) 639–4766 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

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

comments should be received within 30 

days of this notice. 

Proposed Project 

Evaluation of State Nutrition and 

Physical Activity Programs to Prevent 

Obesity and Other Chronic Diseases 

[OMB# 0920–0669 exp. 6/30/2011]— 

Revision—National Center for Chronic 

Disease Prevention and Health 

Promotion (NCCDHP), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

In order to prevent and control 

obesity and other chronic diseases, CDC 

established state-based nutrition and 

physical activity programs to support 

the development and implementation of 

nutrition and physical activity 

interventions, particularly through 

population-based strategies such as 

policy-level changes, environmental 

supports and the social marketing 

process. The overall programmatic goal 

is to promote population-based behavior 

change, such as increased physical 

activity and better dietary habits, thus 

leading to a reduction in the prevalence 

of obesity, and ultimately to a reduction 

in the prevalence of chronic diseases. 

CDC funding for state nutrition and 

physical activity programs may be used 

for capacity building, collaboration, 

planning, monitoring the burden of 

obesity, intervention, and evaluation. 

CDC is currently approved to collect 

information from funded states as 

described in ‘‘Evaluation of State 

Nutrition and Physical Activity 

Programs to Prevent Obesity and Other 

Chronic Diseases’’ (OMB no. 0920–0669, 

exp. date 06/30/2011). The evaluation 

framework for the information 

collection was designed to focus on 

recipient activities as outlined in the 

original funding announcement. Since 

that time, CDC reissued the cooperative 

agreement with minor adjustments to 

program focus and reporting 

requirements. In the current Revision 

request, CDC proposes to implement 

changes to the information collection 

which reflect those adjustments. 

Planned modifications include: 

collection of additional data items 

pertaining to ‘‘success stories’’ and two 

new behavioral target areas 

(consumption of sugar-sweetened 

beverages and consumption of high 

energy-dense foods); deletion of 

questions that are no longer relevant; 

wording changes to improve clarity; and 

minor changes to the response 

categories for some questions. CDC also 

proposes a new, simplified title for the 

OMB Information Collection Request: 

‘‘Monitoring State Nutrition, Physical 

Activity and Obesity Programs.’’ 

CDC anticipates an overall reduction 

in burden based on a reduction in the 

number of respondents, reduction of the 

estimated burden per response, and 

reduction in the frequency of 

information (from a semi-annual 

schedule to an annual schedule). OMB 

approval is requested for three years. 

There are no costs to the respondents 

other than their time. The total 

estimated annualized burden hours are 

250. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

State Awardees ........................................................................................................................... 25 1 10 


cprice-sewell on DSK2BSOYB1PROD with NOTICES