Federal Register / Vol. 77, No. 35 / Wednesday, February 22, 2012 / Notices 10531 

ESTIMATED ANNUALIZED BURDEN TABLE

Forms Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

per response 

(in hours) 

Total 

burden 

hours 

Focus Group ................................. General Public .............................. 621 1 1.5 932 

Focus Group screening ................ General Public .............................. 5,544 1 10/60 924 

Web usability testing ..................... General Public .............................. 144 1 1.5 216 

Web usability screening ................ General Public .............................. 2,160 1 10/60 360 

Self-Administered Surveys ............ General Public .............................. 2,000 1 15/60 500 

Self-Administered survey screening.General Public .............................. 8,000 1 10/60 1,333 

Omnibus Surveys .......................... General Public .............................. 2,000 1 10/60 333 

Cognitive testing ........................... General Public .............................. 25 1 2 50 

Focus Group ................................. Health Professional ...................... 288 1 1.5 432 

Screening ...................................... Health Professional ...................... 4,320 1 10/60 720 

Web usability testing ..................... Health Professional ...................... 144 1 1.5 216 

Screening ...................................... Health Professional ...................... 2,160 1 10/60 360 

Self-Administered Surveys ............ Health Professional ...................... 2,000 1 15/60 500 

Screening ...................................... Health Professional ...................... 8,000 1 10/60 1,333 

Omnibus Surveys .......................... Health Professional ...................... 2,000 1 10/60 333 

In-Depth Interviews ....................... Health Professional ...................... 100 1 45/60 75 

Screening ...................................... Health Professional ...................... 1,000 1 10/60 167 

Total (Overall) ........................ ....................................................... 40,506 .......................... .......................... 8,784 

Keith A. Tucker, 

Office of the Secretary, Paperwork Reduction 

Act Reports Clearance Officer. 

[FR Doc. 2012–4033 Filed 2–21–12; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: Permanency Innovations 

Initiative Evaluation: Phase I. 

OMB No.: New collection. 

Description: The Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS) intends to collect data 

for an evaluation of the Permanency 

Innovations Initiative (PII). This 5-year 

initiative, funded by the Children’s 

Bureau (CB) within ACF, is intended to 

build the evidence base for innovative 

interventions that enhance well-being 

and improve permanency outcomes for 

particular groups of children and youth 

who are at risk for long-term foster care 

and who experience the most serious 

barriers to timely permanency. 

Six grantees are funded to identify 

local barriers to permanent placement 

and implement innovative strategies 

that mitigate or eliminate those barriers 

and reduce the likelihood that children 

will remain in foster care for three years 

or longer. The first year of the initiative 

focused on clarifying grantees’ target 

populations and intervention programs. 

In addition, evaluation plans were 

developed to support rigorous sitespecific and cross-site studies to 

document the implementation and 

effectiveness of the grantees’ projects 

and the initiative overall. 

Data collection for the PII evaluation 

includes a number of components being 

launched at different points in time. The 

purpose of the current document is to 

request approval of data collection 

efforts needed for a first phase of data 

collection and to request a waiver for 

subsequent 60 day notices for later 

components of the evaluation. The first 

phase includes data collection for a 

cross-site implementation evaluation 

and site-specific evaluations of two PII 

grantees (Washoe County, Nevada, and 

the State of Kansas) that will begin 

implementing interventions during the 

second year of the PII grant period. The 

second phase includes a cost evaluation 

and site-specific evaluations of four PII 

grantees expected to implement 

interventions in the third year of the PII 

grant period. 

Data for the evaluations will be 

collected through: (1) Direct assessment 

of caregivers; (2) service providers’ 

clinical assessments of children and 

families; (3) interviews and focus groups 

with grantee staff during site visits and 

through telephone interviews; (4) webbased data collection from service 

providers and key informants; and (5) 

retrieval and submission of data from 

grantee data systems. 

Respondents: Children and their 

parents or permanent or foster 

caregivers, caseworkers, supervisors, 

service providers, and key informants 

such as grantee project directors, data 

managers, and representatives of partner 

agencies. 

ANNUAL BURDEN ESTIMATES

Instrument 

Annual 

number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total annual 

burden hours 

CROSS-SITE IMPLEMENTATION STUDY 

Baseline Survey of Organization/System Readiness .................................. 60 1 .75 45 

Implementation Drivers Web Survey ........................................................... 150 2 .0 .75 225 

Grantee Case Study Field Visit Discussion Guide ...................................... 60 1 2 .0 120 

Fidelity Data (Implementation Quotient Tracker) ......................................... 2 8 1 .5 24 


srobinson on DSK4SPTVN1PROD with NOTICES
10532 Federal Register / Vol. 77, No. 35 / Wednesday, February 22, 2012 / Notices 

ANNUAL BURDEN ESTIMATES—Continued 

Instrument 

Annual 

number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total annual 

burden hours 

Cross-site implementation study annual burden hours 414 

KANSAS SITE-SPECIFIC EVALUATION 

Caregiver Initial Information Form ............................................................... 300 1 0 .1 30 

Child and Adolescent Functional Assessment Scale .................................. 300 2 1 .0 600 

Family Assessment Battery ......................................................................... 300 .52 1 .5 234 

Caseworker interviews for NCFAS completion ........................................... 45 54 0 .5 1,215 

Kansas annual burden hours 2,079 

WASHOE COUNTY SITE-SPECIFIC EVALUATION 

Family Assessment Battery ......................................................................... 249 1 .33 1 .5 497 

Washoe annual burden hours 497 

Estimated Total Annual Burden 

Hours: 2,990. 

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 Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade SW., Washington, DC 20447, 

Attn: OPRE Reports Clearance Officer. 

Email address: 

OPREinfocollection@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. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2012–4051 Filed 2–21–12; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Protection and Advocacy (P&A) 

Voting Access Application and Annual 

Report. 

OMB No.: 0970–0326. 

Description: This is a revision to 

include the application for the 

previously cleared Help America Vote 

Act (HAVA) Annual report. 

An application is required by Federal 

statute (the Help America Vote Act 

(HAVA) of 2002, Public Law 107–252, 

Section 291, Payments for Protection 

and Advocacy Systems, 42 U.S.C. 

15461). Each State Protection & 

Advocacy (P&A) System must prepare 

an application in accordance with the 

program announcement. There is no 

application kit; the P&As application 

may be in the format of its choice. It 

must, however, be signed by the P&As 

Executive Director or the designated 

representative, and contain the 

assurances as outlined under Part I. C. 

Use of Funds. The P&As designated 

representatives may signify their 

agreement with the conditions/ 

assurances by signing and returning the 

assurance document Attachment B, 

found in Part IV of this Instruction. The 

assurance document signed by the 

Executive Director of the P&A, or other 

designated person, should be submitted 

with the application to the 

Administration on Developmental 

Disabilities. 

An annual report is required by 

Federal statute (the Help America Vote 

Act (HAVA) of 2002, Public Law 107– 

252, Section 291, Payments for 

Protection and Advocacy Systems, 42 

U.S.C. 15461). Each State Protection & 

Advocacy (P&A) System must prepare 

and submit an annual report at the end 

of every fiscal year. The report 

addresses the activities conducted with 

the funds provided during the year. The 

information from the annual report will 

be aggregated into an annual profile of 

how HAVA funds have been spent. The 

report will also provide an overview of 

the P&A goals and accomplishments 

and permit the Administration on 

Developmental Disabilities to track 

progress to monitor grant activities. 

Respondents: Protection & Advocacy 

Systems—All States, the District of 

Columbia, Puerto Rico, the U.S. Virgin 

Islands, American Samoa, and Guam. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

hours per 

response 

Total burden 

hours 

Protection and Advocacy (P&A) Voting Access Application ........... 55 1 20 1,100 


srobinson on DSK4SPTVN1PROD with NOTICES