[Federal Register Volume 60, Number 4 (Friday, January 6, 1995)]
[Notices]
[Pages 2143-2144]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-328]



-----------------------------------------------------------------------


DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency Forms Submitted to the Office of Management and Budget for 
Clearance

    Each Friday the Public Health Service (PHS) publishes a list of 
information collection requests it has submitted to the Office of 
Management and Budget (OMB) for clearance in compliance with the 
Paperwork Reduction Act (44 U.S.C. Chapter 35). The following requests 
have been submitted to OMB since the list was last published on Friday, 
December, 9, 1994.

(Call PHS Reports Clearance Officer on 202-690-7100 for copies of 
request).
    1. Protection and Advocacy for Individuals with Mental Illness--45 
CFR Part 51--NPRM--New--This proposed rule provides guidance to States 
regarding submission of annual reports on the activities of protection 
and advocacy programs, as required under section 10824 of the 
Protection and Advocacy of Individuals with Mental Illness Act. Annual 
reporting requirements and associated burden are currently approved 
under OMB control number 0930-0169. Respondents: State, local and 
tribal government, Not-for-profit institutions; Number of Respondents: 
1; Number of Responses per Respondent: 1; Average Burden per Response: 
1 hour; Estimated Annual Burden: 1 hour.
    2. Data Collection and Reporting Requirements for Healthy Schools, 
Healthy Communities Program--New--Grantees funded under the Healthy 
Schools, Healthy Communities program will be required to report 
information on students who receive services, types of services, 
services utilization and health status. This information will be used 
to evaluate the impact of the program on program goals such as 
improving access to care. Respondents: Not-for-profit institutions.

------------------------------------------------------------------------
                                             Number of                  
                               Number of     responses    Average burden
           Title              respondents       per        per response 
                                            respondent       (hours)    
------------------------------------------------------------------------
Data collection............            27           477  .2 hr.         
[[Page 2144]]                                                           
                                                                        
Data reporting.............            27             6  .5 hr.         
------------------------------------------------------------------------
Estimated Total Annual Burden: 2,658 6 hours.                           


    Lymphocyte Alternations in Pesticide Applicators Exposed to 2, 4-
Dichlorophenoxyacetic Acid--New--Information an exposure to pesticides, 
alcohol, tobacco, and x-ray will be obtained by interviews from Kansas 
County Noxious Weed Department employees. The information plus biologic 
samples will be needed to assess possible mechanisms of 2,4-D, a 
suspected carcinogen. Respondents: Individuals or households, State 
local or tribal government; Numbers of Respondents: 130; Number of 
Responses Per Respondent: 7; Average Burden per Response: .21 hour; 
Estimated Annual Burden: 194 hours.
    4. Individual National Research Service Award and Related Forms--
0925-0002 (Revision)--The PHS 416-1 and PHS 416-9 are used by 
individuals to apply for direct research training support. Awards are 
made to individual applicants for specified training proposals in 
biomedical and behavioral research, selected as a result of a national 
competition. The other related forms are used by these individuals to 
activate, terminate, and provide for payback of a National Research 
Service Award. Respondents: Individuals of households, State or local 
governments, Businesses or other for-profit, Federal agencies or 
employees, Non-profit institutions, Small businesses or organizations.

------------------------------------------------------------------------
                                             Number of                  
                               Number of     responses    Average burden
           Title              respondents       per        per response 
                                            respondent       (hours)    
------------------------------------------------------------------------
Initial Application [for            3,356             1  20 hrs.        
 Individual National                                                    
 Research Service Award].                                               
Application for                     1,489             1  7 hrs.         
 Continuation [of an                                                    
 Individual National                                                    
 Research Service Award].                                               
Activation Notice..........         1,207             1  .0835 hr.      
Termination Notice.........         7,937             1  .501 hr.       
Payback Agreement..........         2,592             1  .0835 hr.      
Annual Payback Activities          17,000             1  .3334 hr.      
 Certification.                                                         
Reference Letters..........        10,068             1  .7515 hr.      
------------------------------------------------------------------------
Estimated Total Annual Burden 95,080 hours.                             


    Written comments and recommendations concerning the proposed 
information collections should be sent within 30 days of this notice 
directly to the OMB Desk Officer designated below at the following 
address:
Shannah Koss,
Human Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503.
    Dated: January 3, 1995.
James Scanlon,
Director, Division of Data Policy, Office of Health Planning and 
Evaluation.
[FR Doc. 95-328 Filed 1-5-95; 8:45 am]
BILLING CODE 4160-17-M