Federal Register / Vol. 80, No. 20 / Friday, January 30, 2015 / Notices 5093 

B-List (–2290 thru –2291) 

Barry S. Lineback, 

Director, Business Operations. 

[FR Doc. 2015–01786 Filed 1–29–15; 8:45 am] 

BILLING CODE 6353–01–P 

CORPORATION FOR NATIONAL AND 

COMMUNITY SERVICE 

Proposed Information Collection; 

Comment Request 

AGENCY: Corporation for National and 

Community Service. 

ACTION: Notice. 

SUMMARY: The Corporation for National 

and Community Service (CNCS), as part 

of its continuing effort to reduce 

paperwork and respondent burden, 

conducts a pre-clearance consultation 

program to provide the general public 

and federal agencies with an 

opportunity to comment on proposed 

and/or continuing collections of 

information in accordance with the 

Paperwork Reduction Act of 1995 

(PRA95) (44 U.S.C. Sec. 3506(c)(2)(A)). 

This program helps to ensure that 

requested data can be provided in the 

desired format, reporting burden (time 

and financial resources) is minimized, 

collection instruments are clearly 

understood, and the impact of collection 

requirement on respondents can be 

properly assessed. 

Currently, CNCS is soliciting 

comments concerning its proposed 

Opportunity Youth Evaluation Bundling 

study. The primary purpose of the study 

is to conduct an outcome evaluation on 

the common interventions of select 

AmeriCorps State and National grantees 

engaging opportunity youth as 

AmeriCorps members. The project is an 

effort to generate rigorous outcome 

evidence, leverage limited evaluation 

resources, and build the evaluation 

capacity of smaller AmeriCorps State 

and National grantees. Collection of this 

data is not required for obtaining grant 

funding support from CNCS. 

Copies of the information collection 

request can be obtained by contacting 

the office listed in the ADDRESSES

section of this Notice. 

DATES: Written comments must be 

submitted to the individual and office 

listed in the ADDRESSES section by 

March 31, 2015. 

ADDRESSES: You may submit comments, 

identified by the title of the information 

collection activity, by any of the 

following methods: 

(1) By mail sent to: Corporation for 

National and Community Service, Office 

of Research and Evaluation; Attention 

Adrienne DiTommaso, Research 

Analyst, 10th floor, 10902A; 1201 New 

York Avenue NW., Washington, DC 

20525. 

(2) By hand delivery or by courier to 

the CNCS mailroom at Room 8100 at the 

mail address given in paragraph (1) 

above, between 9:00 a.m. and 4:00 p.m. 

Eastern Time, Monday through Friday, 

except Federal holidays. 

(3) Electronically through 

www.regulations.gov. 

Individuals who use a 

telecommunications device for the deaf 

(TTY–TDD) may call 1–800–833–3722 

between 8:00 a.m. and 8:00 p.m. Eastern 

Time, Monday through Friday. 

FOR FURTHER INFORMATION CONTACT: 

Adrienne DiTommaso, 1–202–606– 

3611, or by email at aditommaso@

cns.gov. 

SUPPLEMENTARY INFORMATION: CNCS is 

particularly interested in comments 

that: 

• Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of CNCS, including whether 

the information will have practical 

utility; 

• Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

• Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

• Minimize the burden of the 

collection of information on those who 

are expected to respond, including the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology 

(e.g., permitting electronic submissions 

of responses). 

Background 

The primary purpose of the study is 

to conduct an outcome evaluation on 

the common interventions of select 

AmeriCorps State and National grantees 

engaging opportunity youth as 

AmeriCorps members. The project is an 

effort to generate rigorous outcome 

evidence, leverage limited evaluation 

resources, and build the evaluation 

capacity of smaller AmeriCorps State 

and National grantees. At the same time, 

it is an effort to test a new evaluation 

approach that has the potential to 

enhance the ability of any small 

program to gather and utilize outcome 

data. Collection of this data is not 

required for obtaining grant funding 

support from CNCS. 

Current Action 

This is a new information collection 

request. This study would administer a 

15 minute, online or telephone survey 

to opportunity youth who are engaged 

as AmeriCorps members in select 

programs participating in the study. 

Additionally, a statistically matched 

comparison group of opportunity youth 

not engaged as AmeriCorps members 

would receive the survey. The survey 

consists of three sections of questions 

querying respondents about educational 

attainment, employment status, and 

civic engagement, intending to assess 

educational, employment and civic 

engagement outcomes achieved as a 

result of participating in the 

AmeriCorps program. 

Type of Review: New. 

Agency: Corporation for National and 

Community Service. 

Title: Opportunity Youth Evaluation 

Bundling project. 

OMB Number: None. 

Agency Number: None. 

Affected Public: Opportunity youth 

engaged in select AmeriCorps State and 

National programs, and a group of 

statistically matched comparison youth 

not participating in an AmeriCorps State 

and National program. 

Total Respondents: 640. 

Frequency: Three times. 

Average Time per Response: Averages 

15 minutes. 

Estimated Total Burden Hours: 480. 

Total Burden Cost (capital/startup): 

None. 

Total Burden Cost (operating/

maintenance): None. 

Comments submitted in response to 

this notice will be summarized and/or 

included in the request for Office of 

Management and Budget approval of the 

information collection request; they will 

also become a matter of public record. 

Dated: January 26, 2015. 

Steve Plank, 

Director of Research and Evaluation, Office 

of Research and Evaluation. 

[FR Doc. 2015–01830 Filed 1–29–15; 8:45 am] 

BILLING CODE 6050–28–P 

CORPORATION FOR NATIONAL AND 

COMMUNITY SERVICE 

Information Collection; Submission for 

OMB Review, Comment Request 

AGENCY: Corporation for National and 

Community Service. 

ACTION: Notice. 

SUMMARY: The Corporation for National 

and Community Service (CNCS) has 

submitted a public information 

collection request (ICR) entitled Day of 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
5094 Federal Register / Vol. 80, No. 20 / Friday, January 30, 2015 / Notices 

Service Project Collection Tool for 

review and approval in accordance with 

the Paperwork Reduction Act of 1995, 

Public Law 104–13, (44 U.S.C. Chapter 

35). Copies of this ICR, with applicable 

supporting documentation, may be 

obtained by calling the Corporation for 

National and Community Service, David 

Premo, at 202–606–6717 or email to 

dpremo@cns.gov. Individuals who use a 

telecommunications device for the deaf 

(TTY–TDD) may call 1–800–833–3722 

between 8:00 a.m. and 8:00 p.m. Eastern 

Time, Monday through Friday. 

ADDRESSES: Comments may be 

submitted, identified by the title of the 

information collection activity, to the 

Office of Information and Regulatory 

Affairs, Attn: Ms. Sharon Mar, OMB 

Desk Officer for the Corporation for 

National and Community Service, by 

any of the following two methods 

within 30 days from the date of 

publication in the Federal Register: 

(1) By fax to: 202–395–6974, 

Attention: Ms. Sharon Mar, OMB Desk 

Officer for the Corporation for National 

and Community Service; or 

(2) By email to: smar@omb.eop.gov. 

SUPPLEMENTARY INFORMATION: The OMB 

is particularly interested in comments 

which: 

• Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of CNCS, including whether 

the information will have practical 

utility; 

• Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

• Propose ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and 

• Propose ways to 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. 

Comments 

A 60-day Notice requesting public 

comment was published in the Federal 

Register on Thursday, November 6, 

2014. This comment period ended 

January 5, 2015. No public comments 

were received from this Notice. 

Description: CNCS wants to help 

promote activities across the country 

and also be able to assess impact of 

CNCS initiatives. 

Type of Review: Renewal. 

Agency: Corporation for National and 

Community Service. 

Title: Day of Service Project 

Promotion Tool. 

OMB Number: 3045–0122. 

Agency Number: None. 

Affected Public: Any person or group 

organizing a service project in 

conjunction with a CNCS Initiative. 

Total Respondents: 100,000. 

Frequency: 6 times annually. 

Average Time per Response: Averages 

10 minutes. 

Estimated Total Burden Hours: 

100,000. 

Total Burden Cost (capital/startup): 

None. 

Total Burden Cost (operating/

maintenance): None. 

Dated: January 27, 2015. 

Theodore Miller, 

Chief of External Affairs. 

[FR Doc. 2015–01831 Filed 1–29–15; 8:45 am] 

BILLING CODE 6050–28–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DoD–2015–HA–0008] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs, 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Office of the Assistant Secretary of 

Defense for Health Affairs announces a 

proposed public information collection 

and seeks public comment on the 

provisions thereof. Comments are 

invited 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 information collection; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the information collection on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

DATES: Consideration will be given to all 

comments received by March 31, 2015. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

East Tower, Suite 02G09, Alexandria, 

VA 22350–3100. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http://

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

Any associated form(s) for this 

collection may be located within this 

same electronic docket and downloaded 

for review/testing. Follow the 

instructions at http://

www.regulations.gov for submitting 

comments. Please submit comments on 

any given form identified by docket 

number, form number, and title. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to Defense Health Agency, 

Performance Evaluation & Transition 

Management Branch, ATTN: Ann 

Fazzini, 16401 E. Centretech Parkway, 

Aurora, CO 80011–9066, telephone 303– 

676–3613. 

SUPPLEMENTARY INFORMATION: 

Title; Associated Form; and OMB 

Number: Health Insurance Claim Form, 

UB–04 CMS.1450, OMB Number 0720– 

0013. 

Needs and Uses: The information 

collection requirement is necessary for a 

medical institution to claim benefits 

under the Defense Health Program, 

TRICARE which includes the Civilian 

Health and Medical Program for the 

Uniformed Services (CHAMPUS). The 

information collected will be used by 

TRICARE/CHAMPUS to determine 

beneficiary eligibility, other health 

insurance liability, certification that the 

beneficiary received the care, and that 

the provider is authorized to receive 

TRICARE/CHAMPUS payments. The 

form will be used by TRICARE/

CHAMPUS and its contractors to 

determine the amount of benefits to be 

paid by TRICARE/CHAMPUS to 

institutional providers. 

Affected Public: Business or other for 

profit; Not-for-profit institutions. 

Annual Burden Hours: 135,000. 

Number of Respondents: 540,000. 

Responses per Respondent: 1. 

Average Burden per Response: 15 

minutes. 

Frequency: On occasion. 

This collection instrument is for use 

by medical institutions filing for 


asabaliauskas on DSK5VPTVN1PROD with NOTICES