9258 Federal Register / Vol. 77, No. 32 / Thursday, February 16, 2012 / Notices 

collected on the race/ethnicity of 

program participants and household 

demographics including income data. 

Form 2—State Performance Measures 

Template: Grantees have already 

selected relevant performance measures 

for the legislatively identified 

benchmark areas. This form provides a 

template for grantees to report aggregate 

data on their State-selected performance 

measures. 

While there will be variation in the 

data collection and reporting burden to 

the grantees based on the number of 

families served and state data system 

capacity, the estimated average annual 

burden is as follows: 

Reporting document Number of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Burden hours 

per response 

Total burden 

hours 

Form 1: Demographic and Service Utilization Data for Enrollees and Children ......................................................... 56 1 56 731 40,936 

Form 2: State Performance Measures Template ................ 56 1 56 313 17,528 

Total .............................................................................. 56 ........................ 56 ........................ 58,464 

Email comments to 

paperwork@hrsa.gov or by mail to the 

HRSA Reports Clearance Officer, Room 

10–29, Parklawn Building, 5600 Fishers 

Lane, Rockville, MD 20857. Written 

comments should be received within 60 

days of this notice. 

Dated: February 10, 2012. 

Reva Harris, 

Acting Director, Division of Policy and 

Information Coordination. 

[FR Doc. 2012–3710 Filed 2–15–12; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HOMELAND 

SECURITY 

U.S. Citizenship and Immigration 

Services 

Agency Information Collection 

Activities: Extension of an Existing 

Information Collection Request; 

Comment Request 

ACTION: 60-Day Notice of Information 

Collection Under Review: Form N–25, 

Request for Verification of 

Naturalization. 

The Department of Homeland 

Security, U.S. Citizenship and 

Immigration Services (USCIS) will be 

submitting the following information 

collection request for review and 

clearance in accordance with the 

Paperwork Reduction Act of 1995. The 

information collection notice, OMB 

Control Number 1615–0049, is 

published in the Federal Register to 

obtain comments from the public and 

affected agencies. Comments are 

encouraged and will be accepted for 

sixty days until April 16, 2012. 

During this 60-day period USCIS will 

be evaluating whether to revise the 

Form N–25. Should USCIS decide to 

revise this form it will advise the public 

when it publishes the 30-day notice in 

the Federal Register in accordance with 

the Paperwork Reduction Act. The 

public will then have 30-days to 

comment on any revisions to this form. 

Written comments and suggestions 

regarding items contained in this notice 

and especially with regard to the 

estimated public burden and associated 

response time should be directed to the 

Department of Homeland Security 

(DHS), USCIS, Chief, Regulatory 

Products Division, Clearance Office, 20 

Massachusetts Avenue NW., 

Washington, DC 20529. Comments may 

also be submitted to DHS via facsimile 

to 202–272–0997, or via email at 

uscisfrcomment@dhs.gov. When 

submitting comments by email, please 

add the OMB Control Number 1615– 

0049 in the subject box. 

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 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 the burden of the 

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 an existing information 

collection. 

(2) Title of the Form/Collection: 

Request for Verification of 

Naturalization. 

(3) Agency form number, if any, and 

the applicable component of the 

Department of Homeland Security 

sponsoring the collection: Form N–25. 

U.S. Citizenship and Immigration 

Services. 

(4) Affected public who will be asked 

or required to respond, as well as a brief 

abstract: Primary: Not for Profit 

Institutions. This form will allow U.S. 

Citizenship and Immigration Services 

(USCIS) to obtain verification from the 

courts that a person claiming to be a 

naturalized citizen has, in fact, been 

naturalized. 

(5) An estimate of the total number of 

respondents and the amount of time 

estimated for an average respondent to 

respond: 1,000 responses at 15 minutes 

(.25) per response. 

(6) An estimate of the total public 

burden (in hours) associated with the 

collection: 250 annual burden hours. 

If you have additional comments, 

suggestions, or need a copy of the 

information collection instrument, 

please visit: http://www.regulations.gov/ 

search/index.jsp. 

We may also be contacted at: USCIS, 

Regulatory Management Division, 20 

Massachusetts Avenue NW., 

Washington, DC 20529, telephone 

number 202–272–8377. 

Dated: February 10, 2012. 

William Bacon, 

Deputy Chief, Office of the Executive 

Secretariat, U.S. Citizenship and Immigration 

Services, Department of Homeland Security. 

[FR Doc. 2012–3665 Filed 2–15–12; 8:45 am] 

BILLING CODE 9111–97–P 


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