Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
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###### Department of Health and Human Services

###### Office of the Secretary 

          - [Document Identifier: OS-0990-New] 

# AGENCY:

Office of the Secretary, HHS. 

In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is publishing the following summary of proposed collections for public comment. Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (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. 

*Type of Information Collection Request:*                         New Collection;                     

*Title of Information Collection:*                         Adolescent Family Life Care Demonstration Project End of Year Template;                     

*Form/OMB No.:*                         OS-0990-New;                     

*Use:*                         The Adolescent Family Life Care Demonstration projects provide and evaluate services for pregnant and parenting adolescents. The End of Year Template will provide an outline and forms to report annually on program and evaluation services and outcomes.                     

*Frequency:*                         Annually;                     

*Affected Public:*                         State, local, or tribal governments, business or other for profit, not for profit institutions;                     

*Annual Number of Respondents:*                         50;                     

*Total Annual Responses:*                         50;                     

*Average Burden Per Response:*                         30 minutes;                     

*Total Annual Hours:*                         106;                     

                        To obtain copies of the supporting statement and any related forms for the                               ( print page 52103)                            proposed paperwork collections referenced above, access the HHS Web site address at                         *http://www.hhs.gov/​oirm/​infocollect/​pending/​*                         or e-mail your request, including your address, phone number, OMB number, and OS document identifier, to                         *naomi.cook@hhs.gov*, or call the Reports Clearance Office on (202) 690-8356. Written comments and recommendations for the proposed information collections must be mailed within 60 days of this notice directly to the OS Paperwork Clearance Officer designated at the following address: Department of Health and Human Services, Office of the Secretary, Assistant Secretary for Budget, Technology, and Finance, Office of Information and Resource Management, Attention: Naomi Cook (0990-New), Room 531-H, 200 Independence Avenue, SW., Washington, DC 20201.                     

Dated: August 23, 2005. 

Robert E. Polson, 

Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer. 

[FR Doc. 05-17418 Filed 8-31-05; 8:45 am] 

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