Federal Register / Vol. 80, No. 73 / Thursday, April 16, 2015 / Notices 20503 

the state home visiting program in 

targeted at-risk communities; progress 

toward meeting legislatively-mandated 

reporting on benchmark areas; state 

home visiting quality improvement 

efforts; and updates on the 

administration of state home visiting 

program. 

Since federal fiscal year 2011, 48 

eligible entities have received 

competitive grant awards. Some 

grantees have been awarded up to three 

competitive grants to date. Grantees of 

the competitive grant program need to 

complete annual reports in order to 

comply with legal and policy reporting 

requirements. 

Likely Respondents: Grantees with 

Home Visiting Competitive Awards 

Awarded in Federal FY 2013–FY 2017. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install and utilize 

technology and systems for the purpose 

of collecting, validating and verifying 

information, processing and 

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 Information 

Collection Request are summarized in 

the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS

Summary progress on the following activities Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Hours per 

response 

Total burden 

hours 

Home Visiting Competitive Grant Progress Report—FY 

2012, FY 2013, FY 2014 .................................................. 37 1 37 25 925 

Home Visiting Competitive Grant Progress Report—FY 

2015 .................................................................................. 32 1 35 25 875 

Home Visiting Competitive Grant Progress Report—FY 

2016 FY 2017 ................................................................... 47 2 94 25 2350 

Total .............................................................................. 116 4 166 75 4150 

HRSA 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. 

Jackie Painter, 

Director, Division of the Executive Secretariat. 

[FR Doc. 2015–08708 Filed 4–15–15; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HOMELAND 

SECURITY 

U.S. Customs and Border Protection 

[1651–0111] 

Agency Information Collection 

Activities: Arrival and Departure 

Record (Forms I–94 and I–94W) and 

Electronic System for Travel 

Authorization 

AGENCY: U.S. Customs and Border 

Protection, Department of Homeland 

Security. 

ACTION: 30-Day notice and request for 

comments; Extension and revision of an 

existing collection of information. 

SUMMARY: U.S. Customs and Border 

Protection (CBP) of the Department of 

Homeland Security will be submitting 

the following information collection 

request to the Office of Management and 

Budget (OMB) for review and approval 

in accordance with the Paperwork 

Reduction Act: CBP Form I–94 (Arrival/ 

Departure Record), CBP Form I–94W 

(Nonimmigrant Visa Waiver Arrival/

Departure), and the Electronic System 

for Travel Authorization (ESTA). This is 

a proposed extension of an information 

collection that was previously 

approved. CBP is proposing that this 

information collection be extended with 

a change to the burden hours and a 

revision to the information collected. 

This document is published to obtain 

comments from the public and affected 

agencies. 

DATES: Written comments should be 

received on or before May 18, 2015 to 

be assured of consideration. 

ADDRESSES: Interested persons are 

invited to submit written comments on 

this proposed information collection to 

the Office of Information and Regulatory 

Affairs, Office of Management and 

Budget. Comments should be addressed 

to the OMB Desk Officer for Customs 

and Border Protection, Department of 

Homeland Security, and sent via 

electronic mail to oira_submission@

omb.eop.gov or faxed to (202) 395–5806. 

FOR FURTHER INFORMATION CONTACT: 

Requests for additional information 

should be directed to Tracey Denning, 

U.S. Customs and Border Protection, 

Regulations and Rulings, Office of 

International Trade, 90 K Street NE., 

10th Floor, Washington, DC 20229– 

1177, at 202–325–0265. 

SUPPLEMENTARY INFORMATION: This 

proposed information collection was 

previously published in the Federal 

Register (79 FR 73096) on December 9, 

2014, allowing for a 60-day comment 

period. This notice allows for an 

additional 30 days for public comments. 

This process is conducted in accordance 

with 5 CFR 1320.10. CBP invites the 

general public and other Federal 

agencies to comment on proposed and/ 

or continuing information collections 

pursuant to the Paperwork Reduction 

Act of 1995 (Pub. L. 104–13; 44 U.S.C. 

3507). The comments should address: 

(a) Whether the 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 

estimates of the burden of the collection 

of information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; (d) ways to 

minimize the burden, including the use 

of automated collection techniques or 

the use of other forms of information 

technology; and (e) the annual costs to 

respondents or record keepers from the 

collection of information (total capital/ 

startup costs and operations and 

maintenance costs). The comments that 

are submitted will be summarized and 


tkelley on DSK3SPTVN1PROD with NOTICES
20504 Federal Register / Vol. 80, No. 73 / Thursday, April 16, 2015 / Notices 

included in the CBP request for OMB 

approval. All comments will become a 

matter of public record. In this 

document, CBP is soliciting comments 

concerning the following information 

collection: 

Title: Arrival and Departure Record, 

Nonimmigrant Visa Waiver Arrival/

Departure, and Electronic System for 

Travel Authorization (ESTA). 

OMB Number: 1651–0111. 

Form Numbers: I–94 and I–94W. 

Abstract: 

Background 

CBP Forms I–94 (Arrival/Departure 

Record) and I–94W (Nonimmigrant Visa 

Waiver Arrival/Departure Record) are 

used to document a traveler’s admission 

into the United States. These forms are 

filled out by aliens and are used to 

collect information on citizenship, 

residency, passport, and contact 

information. The data elements 

collected on these forms enable the DHS 

to perform its mission related to the 

screening of alien visitors for potential 

risks to national security, and the 

determination of admissibility to the 

United States. The Electronic System for 

Travel Authorization (ESTA) applies to 

aliens traveling to the United States 

under the Visa Waiver Program (VWP) 

and requires that VWP travelers provide 

information electronically to CBP before 

embarking on travel to the United 

States. Travelers who are entering under 

the VWP in the air or sea environment, 

and who have a travel authorization 

obtained through ESTA, are not 

required to complete the paper Form I– 

94W. 

Pursuant to an interim final rule 

published on March 27, 2013 in the 

Federal Register (78 FR 18457) related 

to Form I–94, CBP has partially 

automated the Form I–94 process. CBP 

now gathers data previously collected 

on the paper Form I–94 from existing 

automated sources in lieu of requiring 

passengers arriving by air or sea to 

submit a paper I–94 upon arrival. 

Passengers can access and print their 

electronic I–94 via the Web site at 

www.cbp.gov/I94. 

ESTA can be accessed at: https://

esta.cbp.dhs.gov. Samples of CBP Forms 

I–94 and I–94W can be viewed at: 

http://www.cbp.gov/document/forms/

form-i-94-arrivaldeparture-record and 

http://www.cbp.gov/document/forms/

form-i-94w-visa-waiverarrivaldeparture-record. 

Recent and Proposed Changes 

In response to the increasing concerns 

regarding national security, DHS used 

the emergency Paperwork Reduction 

Act process to strengthen the security of 

the VWP by adding data elements to 

ESTA and to Form I–94W. DHS 

determined that the addition of these 

new data elements improves the 

Department’s ability to screen 

prospective VWP travelers while more 

accurately and effectively identifying 

those who pose a security risk to the 

United States and facilitates 

adjudication of ESTA applications. 

The following data elements are either 

new elements that were approved in the 

emergency PRA submission or data 

elements that were collected previously 

that were changed from ‘‘optional’’ to 

‘‘mandatory’’ on the ESTA application: 

1. Other Names or Aliases ........................................................................................................................................ Mandatory. 

2. Other Country of Citizenship ................................................................................................................................. Mandatory. 

3. If yes, passport number on additional citizenship passport .................................................................................. Optional. 

4. Home Address ....................................................................................................................................................... Mandatory. 

5. Parents’ Names ..................................................................................................................................................... Mandatory. 

6. Current or Previous Job Title ................................................................................................................................. Optional. 

7. Current or Previous Employer Name .................................................................................................................... Mandatory. 

8. Current or Previous Employer Address ................................................................................................................. Mandatory. 

9. Current or Previous Employer Telephone number ................................................................................................ Optional. 

10. Primary Email ....................................................................................................................................................... Mandatory—was optional. 

11. Primary Telephone Number ................................................................................................................................. Mandatory—was optional. 

12. U.S. Point of Contact Name ................................................................................................................................ Mandatory. 

13. U.S. Point of Contact Address ............................................................................................................................. Mandatory. 

14. U.S. Point of Contact Email ................................................................................................................................. Mandatory. 

15. U.S. Point of Contact Phone ............................................................................................................................... Mandatory. 

16. City of Birth .......................................................................................................................................................... Mandatory. 

17. National Identification Number ............................................................................................................................. Mandatory. 

18. Emergency Point of Contact Information Name .................................................................................................. Mandatory. 

19. Emergency Point of Contact Information Email .................................................................................................. Mandatory. 

20. Emergency Point of Contact Information Phone ................................................................................................. Mandatory. 

22. Do you have a current or previous employer? .................................................................................................... Mandatory. 

21. Is your travel to the U.S. occurring in transit to another country? Mandatory. 

For the following ‘‘mandatory’’ fields 

ESTA applicants are permitted to enter 

‘‘unknown,’’ if they do not have or 

know the information, without 

impeding the submission of their ESTA 

application: City of Birth, Parents’ 

Names, National Identification Number, 

Emergency Contact Information, U.S. 

Point of Contact information, and 

Employer Address. 

In accordance with guidance from the 

Centers for Disease Control and 

Prevention, CBP also proposes to revise 

the current question about diseases on 

ESTA and on Form I–94W as follows: 

Currently approved question: 

Do you have a physical or mental 

disorder; or are you a drug abuser or 

addict; or currently have any of the 

following diseases: 

• Chancroid 

• Gonorrhea 

• Granuloma inguinale 

• Leprosy, infectious 

• Lymphogranuloma venereum 

• Syphilis, infectious 

• Active Tuberculosis 

Proposed new question: 

Do you have a physical or mental 

disorder; or are you a drug abuser or 

addict; or do you currently have any of 

the following diseases (communicable 

diseases are specified pursuant to 

section 361(b) of the Public Health 

Service Act): 

• Cholera 

• Diphtheria 

• Tuberculosis, infectious 

• Plague 

• Smallpox 

• Yellow Fever 

• Viral Hemorrhagic Fevers, including 

Ebola, Lassa, Marburg, CrimeanCongo 

• Severe acute respiratory illnesses 

capable of transmission to other 

persons and likely to cause mortality. 

Current Actions: This submission is 

being made to extend the expiration 

date with a change to the burden hours 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 73 / Thursday, April 16, 2015 / Notices 20505 

based on updated estimates of the 

numbers of respondents. Specifically, 

the number of respondents for the I–94 

Web site was decreased by 1,188,899 

from 5,047,681 to 3,858,782; the number 

of respondents for the ESTA burden was 

increased by 920,000 from 22,090,000 to 

23,010,000; and the number of 

respondents paying the ESTA fee was 

increased by 747,000 from 18,183,000 to 

18,930,000. 

There is also a proposed change to the 

question about diseases on ESTA and on 

Form I–94W as described in the 

Abstract section of this document. There 

are no changes to the information 

collected on Form I–94, or the I–94 Web 

site. 

Type of Review: Extension (with 

change). 

Affected Public: Individuals, Carriers, 

and the Travel and Tourism Industry. 

Form I–94 (Arrival and Departure 

Record) 

Estimated Number of Respondents: 

4,387,550. 

Estimated Time per Response: 8 

minutes. 

Estimated Burden Hours: 583,544. 

Estimated Annual Cost to Public: 

$26,325,300. 

I–94 Web Site 

Estimated Number of Respondents: 

3,858,782. 

Estimated Time per Response: 4 

minutes. 

Estimated Annual Burden Hours: 

254,679. 

Form I–94W (Nonimmigrant Visa 

Waiver Arrival/Departure) 

Estimated Number of Respondents: 

941,291. 

Estimated Time per Response: 13 

minutes. 

Estimated Annual Burden Hours: 

204,260. 

Estimated Annual Cost to the Public: 

$5,647,746. 

Electronic System for Travel 

Authorization (ESTA) 

Estimated Number of Respondents: 

23,010,000. 

Estimated Time per Response: 20 

minutes. 

Estimated Total Annual Burden 

Hours: 7,662,330. 

Estimated Annual Cost to the Public: 

$265,020,000. 

Dated: April 13, 2015, 

Tracey Denning, 

Agency Clearance Officer, U.S. Customs and 

Border Protection. 

[FR Doc. 2015–08768 Filed 4–15–15; 8:45 am] 

BILLING CODE 9111–14–P 

DEPARTMENT OF THE INTERIOR 

Bureau of Land Management 

[LLNM006200 L99110000.EK0000 XXX 

L4053RV] 

Revision of Approved Information 

Collection; OMB Control No. 1004– 

0179 

AGENCY: Bureau of Land Management, 

Interior. 

ACTION: 60-Day notice and request for 

comments. 

SUMMARY: In compliance with the 

Paperwork Reduction Act, the Bureau of 

Land Management (BLM) invites public 

comment, and announces that it intends 

to request that the Office of Management 

and Budget (OMB) renew and revise 

control number 1004–0179, ‘‘Helium 

Contracts.’’ This request is prompted by 

the need to update the control number 

in response to legislation. 

DATES: Please submit comments on the 

proposed information collection by June 

15, 2015. 

ADDRESSES: Comments may be 

submitted by mail, fax, or electronic 

mail. 

Mail: U.S. Department of the Interior, 

Bureau of Land Management, 1849 C 

Street NW., Room 2134LM, Attention: 

Jean Sonneman, Washington, DC 20240. 

Fax: to Jean Sonneman at 202–245– 

0050. 

Electronic mail: jesonnem@blm.gov. 

Please indicate ‘‘Attn: 1004–0179’’ 

regardless of the form of your 

comments. 

FOR FURTHER INFORMATION CONTACT: 

Robert Jolley, at 806–356–1002. Persons 

who use a telecommunication device for 

the deaf may call the Federal 

Information Relay Service (FIRS) at 1– 

800–877–8339, to leave a message for 

Mr. Jolley. The FIRS is available 24 

hours a day, 7 days a week. You will 

receive a reply during normal business 

hours. 

SUPPLEMENTARY INFORMATION: OMB 

regulations at 5 CFR part 1320, which 

implement provisions of the Paperwork 

Reduction Act, 44 U.S.C. 3501–3521, 

require that interested members of the 

public and affected agencies be given an 

opportunity to comment on information 

collection and recordkeeping activities 

(see 5 CFR 1320.8 (d) and 1320.12(a)). 

This notice identifies an information 

collection that the BLM plans to submit 

to OMB for approval. The Paperwork 

Reduction Act provides that an agency 

may not conduct or sponsor a collection 

of information unless it displays a 

currently valid OMB control number. 

Until OMB approves a collection of 

information, you are not obligated to 

respond. 

The BLM will request a 3-year term of 

approval for this information collection 

activity. Comments are invited on: (1) 

The need for the collection of 

information for the performance of the 

functions of the agency; (2) the accuracy 

of the agency’s burden estimates; (3) 

ways to enhance the quality, utility and 

clarity of the information collection; and 

(4) ways to minimize the information 

collection burden on respondents, such 

as use of automated means of collection 

of the information. A summary of the 

public comments will accompany our 

submission of the information collection 

requests to OMB. 

Before including your address, phone 

number, email address, or other 

personal identifying information in your 

comment, you should be aware that 

your entire comment—including your 

personal identifying information—may 

be made publicly available at any time. 

While you can ask us in your comment 

to withhold your personal identifying 

information from public review, we 

cannot guarantee that we will be able to 

do so. 

The following information pertains to 

this request: 

Title: Helium Contracts (43 CFR part 

3195). 

OMB Control Number: 1004–0179. 

Summary: At present, control number 

1004–0179 (expiration date: April 30, 

2017) enables the BLM to monitor 

purchases and sales of helium from the 

Federal Helium Reserve. This 

information collection activity is in 

accordance with the BLM’s authority to 

implement in-kind sales of helium in 

accordance with 43 CFR part 3195. The 

BLM intends to seek OMB clearance to 

revise and extend this ongoing 

collection of information for another 3 

years. The requested revision will be the 

addition of a new form (‘‘Refined 

Helium Deliveries Detail’’) that will 

replace the existing non-form activity 

titled ‘‘Sales Reports.’’ 

In addition, the BLM intends to seek 

OMB clearance to add information 

collection activities that are necessary 

for the implementation of the Helium 

Stewardship Act of 2013 (Act or 2013 

Act), Public Law 113–40 (127 Stat. 534, 

codified at 50 U.S.C. 167–167q). Section 

5(b)(8) of the 2013 Act amends 50 U.S.C. 

167d, and establishes the following 

additional terms and conditions of 

Federal helium sales that necessitate 

new information collection activities: 

• Parties to a helium storage contract 

with the BLM must disclose: 

(1) The volumes and associated prices 

in dollars per thousand cubic feet (Mcf) 

in purchase and sales transactions in the 


tkelley on DSK3SPTVN1PROD with NOTICES