Federal Register / Vol. 80, No. 24 / Thursday, February 5, 2015 / Notices 6519 

maintaining information, and disclosing 

and providing information, to train 

personnel and to be able to respond to 

a collection of information, to search 

data sources, to complete and review 

the collection of information, and to 

transmit or otherwise disclose the 

information. 

The total annual burden hours 

estimated for this ICR are summarized 

in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS

Forms (if necessary) Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Measures for all grantees ................. Grantee program staff—all ............... 106 1 7 742 

Participant-level measures ................ Grantee program staff—Tier 1 C/D, 

Tier 2, and PREIS.

45 1 1 45 

Perceived impact questions .............. Youth participants—PREIS .............. 2000 1 5/60 167 

Perceived impact measures ............. Grantee program staff—PREIS ....... 11 1 3 33 

Total ........................................... ........................................................... 2,106 ........................ ........................ 987 

OS specifically requests comments on 

(1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions, (2) the accuracy of the 

estimated burden, (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Darius Taylor, 

Information Collection Clearance Officer. 

[FR Doc. 2015–02249 Filed 2–4–15; 8:45 am] 

BILLING CODE 4168–11–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–15–0530] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) has submitted the 

following information collection request 

to the Office of Management and Budget 

(OMB) for review and approval in 

accordance with the Paperwork 

Reduction Act of 1995. The notice for 

the proposed information collection is 

published to obtain comments from the 

public and affected agencies. 

Written comments and suggestions 

from the public and affected agencies 

concerning the proposed collection of 

information are encouraged. Your 

comments should address any of the 

following: (a) Evaluate whether the 

proposed collection of information is 

necessary for the proper performance of 

the functions of the agency, including 

whether the information will have 

practical utility; (b) Evaluate the 

accuracy of the agencies estimate of the 

burden of the proposed collection of 

information, including the validity of 

the methodology and assumptions used; 

(c) Enhance the quality, utility, and 

clarity of the information to be 

collected; (d) 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; and (e) Assess information 

collection costs. 

To request additional information on 

the proposed project or to obtain a copy 

of the information collection plan and 

instruments, call (404) 639–7570 or 

send an email to omb@cdc.gov. Written 

comments and/or suggestions regarding 

the items contained in this notice 

should be directed to the Attention: 

CDC Desk Officer, Office of Management 

and Budget, Washington, DC 20503 or 

by fax to (202) 395–5806. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

EEOICPA Dose Reconstruction 

Interviews and Forms, OMB No. 0920– 

0530 (Expiration, 02/28/2015)— 

Extension—The National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

On October 30, 2000, the Energy 

Employees Occupational Illness 

Compensation Program Act of 2000 (42 

U.S.C. 7384–7385) was enacted. This 

Act established a federal compensation 

program for employees of the 

Department of Energy (DOE) and certain 

of its contractors, subcontractors and 

vendors, who have suffered cancers and 

other designated illnesses as a result of 

exposures sustained in the production 

and testing of nuclear weapons. 

Executive Order 13179, issued on 

December 7, 2000, delegated authorities 

assigned to ‘‘the President’’ under the 

Act to the Departments of Labor, Health 

and Human Services, Energy and 

Justice. The Department of Health and 

Human Services (DHHS) was delegated 

the responsibility of establishing 

methods for estimating radiation doses 

received by eligible claimants with 

cancer applying for compensation. 

NIOSH is applying the following 

methods to estimate the radiation doses 

of individuals applying for 

compensation. 

In performance of its dose 

reconstruction responsibilities, under 

the Act, NIOSH is providing voluntary 

interview opportunities to claimants (or 

their survivors) individually and 

providing them with the opportunity to 

assist NIOSH in documenting the work 

history of the employee by 

characterizing the actual work tasks 

performed. In addition, NIOSH and the 

claimant may identify incidents that 

may have resulted in undocumented 

radiation exposures, characterizing 

radiological protection and monitoring 

practices, and identify co-workers and 

other witnesses as may be necessary to 

confirm undocumented information. In 

this process, NIOSH uses a computer 

assisted telephone interview (CATI) 

system, which allows interviews to be 

conducted more efficiently and quickly 

as opposed to a paper-based interview 

instrument. Both interviews are 

voluntary and failure to participate in 

either or both interviews will not have 

a negative effect on the claim, although 

voluntary participation may assist the 

claimant by adding important 

information that may not be otherwise 

available. NIOSH is requesting a threeyear approval for these data collection 

activities. 


rljohnson on DSK3VPTVN1PROD with NOTICES
6520 Federal Register / Vol. 80, No. 24 / Thursday, February 5, 2015 / Notices 

NIOSH uses the data collected in this 

process to complete an individual dose 

reconstruction that accounts, as fully as 

possible, for the radiation dose incurred 

by the employee in the line of duty for 

DOE nuclear weapons production 

programs. After dose reconstruction, 

NIOSH also performs a brief, voluntary 

final interview with the claimant to 

explain the results and to allow the 

claimant to confirm or question the 

records NIOSH has compiled. This will 

also be the final opportunity for the 

claimant to supplement the dose 

reconstruction record. Approximately 

3,600 claimants will be interviewed 

with an average burden of one hour per 

response. 

At the conclusion of the dose 

reconstruction process, the claimant 

submits a form to confirm that the 

claimant has no further information to 

provide to NIOSH about the claim at 

this time. The form notifies the claimant 

that signing the form allows NIOSH to 

forward a dose reconstruction report to 

DOL and to the claimant, and closes the 

record on data used for the dose 

reconstruction. Signing this form does 

not indicate that the claimant agrees 

with the outcome of the dose 

reconstruction. The dose reconstruction 

results will be supplied to the claimant 

and to the DOL, the agency that will 

utilize them as one part of its 

determination of whether the claimant 

is eligible for compensation under the 

Act. It is estimated that 3,600 claimants 

will complete the conclusion form 

which takes approximately five minutes 

per response. 

The total estimated burden hours are 

3,900. There is no cost to respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Claimant .......................................................... Initial interview ................................................ 3,600 1 1 

Claimant .......................................................... Conclusion form OCAS–1 .............................. 3,600 1 5/60 

Total 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2015–02274 Filed 2–4–15; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Proposed Projects: Conduct an 

electronic survey of 2012-funded Family 

Connection grantees to collect process 

evaluation data to include as part of the 

Cross-Site Evaluation. 

Title: Cross-site Evaluation Survey 

2012 Family Connection Grantees 

OMB No.: 0970–NEW 

Description: In the interest of 

providing as complete an evaluation 

report as possible by the end of FY15, 

the Children’s Bureau has directed the 

contractor conducting the Cross-site 

Evaluation to adopt the most efficient 

means possible to collect process 

evaluation data from grantees. The 

proposed electronic survey will replace 

originally planned in-person and 

telephone discussions with electronic 

surveys. This will enable collection of 

key information on project design, 

implementation, maintenance, and 

sustainability from key grantee 

representatives in an abbreviated 

amount of time. The quantitative nature 

of the surveys will enable rapid data 

analysis and reporting. 

Respondents: The Cross-site 

Evaluation addresses a total of 

seventeen (17) Family Connection 

grantees. Four categories of participants 

will be surveyed: Project Leadership, 

Service Providers, Project Partners 

(public child welfare and community 

agencies), and Evaluators. For each 

grantee, an average of 20 respondents is 

anticipated: 4 project leadership, 9 

service providers, 2 public child welfare 

agency representatives, 2 community 

partner representatives, and 3 

evaluators. These numbers of 

participants, per category, are used in 

the table below to calculate the number 

of respondents, across the 17 projects to 

be surveyed. Differences in burden 

estimates for the different instruments 

reflect the number of questions in each. 

ANNUAL BURDEN ESTIMATES 

Instrument Number of respondents 

Number of responses per 

respondent 

Average burden hours per 

response 

Total burden 

hours 

Project Leadership Protocol ............................................................................ 79 1 .75 59.25 

Service Provider Protocol ................................................................................ 153 1 .5 76.5 

Public Child Welfare Partner Protocol ............................................................. 34 1 .25 8.5 

Community Partner Protocol ............................................................................ 34 1 .25 8.5 

Evaluator Protocol ........................................................................................... 51 1 .75 38.25 

Estimated Total Annual Burden Hours: 191.00. 

Additional Information 

Copies of the proposed collection may 

be obtained by writing to the 

Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade SW., Washington, DC 20447, 

Attn: ACF Reports Clearance Officer. All 

requests should be identified by the title 

of the information collection. Email 

address: infocollection@acf.hhs.gov. 


rljohnson on DSK3VPTVN1PROD with NOTICES