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

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


### 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