36568 Federal Register / Vol. 61, No. 134 / Thursday, July 11, 1996 / Notices

Valley National Recreation Area, 15610

Vaughn Road, Brecksville, Ohio 44141

or call 216–546–5903.

SUPPLEMENTARY INFORMATION: This

notice is being published in accordance

with 36 CFR 17.4, July 1, 1992, and June

5, 1996.

Dated: June 26, 1996.

William W. Schenk,

Field Director, Midwest Field Area.

[FR Doc. 96–17681 Filed 7–10–96; 8:45 am]

BILLING CODE 4310–70–P

DEPARTMENT OF LABOR

Employment and Training

Administration

Proposed Collection of Job Corps

Health Questionnaire Comment

Request

ACTION: Notice.

SUMMARY: The Department of Labor, 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. 3506(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

requirements on respondents can be

properly assessed. Currently, the Job

Corps is soliciting comments concerning

the proposed revision of the Health

Questionnaire, Form ETA 6–53, a copy

of which is attached to this notice.

DATES: Written comments must be

submitted to the office listed in the

addressee section below on or before

September 9, 1996. The Department of

Labor is particularly interested in

comments which:

• 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;

• 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

collection; and

• 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.

ADDRESSEE: Charles R. Hayman, MD,

National Medical Director, Job Corps,

Room N4507, 200 Constitution Avenue,

NW, Washington, DC 20210, 202–219–

5556, ext. 122 (this is not a toll-free

number), 202–219–5183 (fax).

SUPPLEMENTARY INFORMATION:

I. Background

The Job Corps program is described in

its enabling legislation under Public

Law 97–300, Job Training Partnership

Act. Section 423(4) states the health

eligibility criteria and Section 424 of the

Act outlines the screening and selection

process for entry into Job Corps. The

Department of Labor’s regulation at 20

CFR 638.400 (K, L, M) further details the

recruitment and screening of applicants,

with specific guidance regarding health

screening.

Young people wishing to enroll in Job

Corps must first be screened to

determine their suitability for the

program. This initial screening of

applicants is carried out by screening

agencies, including State employment

services, contracted to recruit young

people for Job Corps. Screening ensures

that applicants meet all admissions

criteria as defined in Performance

Requirements Handbook (PRH) Chapter

1, Outreach and Screening, July 1995.

Nonmedical personnel in the

screening agencies (admissions

counselors) conduct the screening

interview and complete all required

application forms included in PRH–1

and its appendices. From 1980 through

1986, the Job Corps Health

Questionnaire (ETA 6–53) was

administered during the screening

interview only to those applicants

whose medical eligibility was in doubt

(as determined by positive response to

questions 25 a, b, or c on the Job Corps

Data Sheet, ETA 6–52).

A survey of Regional Directors for Job

Corps and their staffs in 1982 and 1984

affirmed that the limited use of the

Health Questionnaire in effect since

1980 had a significant adverse effect on

the program. All regions responding

recommended use of the Health

Questionnaire during the initial

screening interview for all applicants. It

was noted that given the guidance and

structure of the Health Questionnaire,

screeners would ask more questions

about applicants’ health problems than

the four general questions on the Data

Sheet, and that responses to these

questions would be very likely to

uncover health problems (especially

mental health problems). In 1987, initial

use of the Health Questionnaire for all

applicants was reinstituted.

II. Current Actions

The application folders of all

applicants for the Job Corps showing

questionable medical or behavioral

status are transferred to the appropriate

Regional Office for review. Regional

Office personnel give any records

showing potential health problems to

the regional nurse consultant.

The nurse consultant reviews the

applicant’s medical history as contained

in the Health Questionnaire. If

necessary the consultant supplements’

information from the applicant’s health

care providers to determine whether the

individual has health problems that

might prevent him or her from

benefiting from the Job Corps program

or that might unduly tax a center’s

health care budget.

In Regions II and IV, screening has

been delegated to selected staff of each

center. Center staff review all

applications and make the decision to

accept. The Regional Office staff and

consultants are called upon for

technical assistance as needed and for

review and final decision on all

applications provisionally rejected by

the center.

Persons having significant physical

disabilities are accepted into designated

centers for the mobility impaired, vision

or hearing impaired, or learning

disabled. (Applicants with conditions

requiring extensive treatment are not

accepted).

While most health screening at the

Regional level is done by the nurse

consultant through review of the

applicant’s health record, in some

instances the nurse will request the

assistance of the regional medical,

dental or mental health consultant to

ensure that the evaluation of the

applicant’s suitability for Job Corps is

correct.

In the case of an applicant with an

acceptable health condition requiring

special attention, the nurse consultant

will advise the Job Corps Regional

Director concerning appropriate center

placement. For all accepted applicants,

the Regional Office sends the Health

Questionnaire and all other health

information sealed in the student’s

Health Record Envelope to the center of

assignment.

In general, the Regional Directors feel

that Job Corps deals with a population
Federal Register / Vol. 61, No. 134 / Thursday, July 11, 1996 / Notices 36569

of youth that requires them to be quite

specific in the screening process.

Applicants are perceived as having great

difficulty understanding general

questions regarding their health history

and status. They also do not routinely

volunteer necessary information

regarding their health unless asked the

more detailed questions included on the

Health Questionnaire.

Additionally, Regional Directors feel

that many admissions counselors do not

have the necessary skills to perform an

in-depth health interview without the

structure provided by the Health

Questionnaire.

Regional Directors cite the following

specific benefits of using the Health

Questionnaire for all applicants:

• Identifies health problems that may

prohibit an applicant from successfully

completing a Job Corps program.

• Identifies applicants whose

physical or mental health problems may

result in harm to themselves or others

following enrollment.

• Identifies health problems that Job

Corps is not prepared to handle due to

lack of health care resources or due to

excessive costs.

• Assists in assignment of an

applicant with a health problem to a

center equipped to provide both health

care and vocational training appropriate

to the applicant’s needs.

Experience throughout the Job Corps

indicates that the Health Questionnaire

is an excellent guide in identifying

current and potential applicant health

problems. Its use results in considerable

savings of time, by both regional health

consultants and center health staff, and

of money, by reducing high medical

program costs and early medical

terminations.

In addition, ETA uses the Report of

Medical Examination, SF 88 and Report

of Medical History, SF 93 when medical

examinations of the Job Corps enrollees

are conducted.

Burden Cost: Total cost to respondent

(Job Corps applicant/student) is 0.

Date: June 5, 1996.

Signing Official: Mary H. Silva,

National Director, Job Corps.

Description of Revisions to Existing

Collection: Job Corps entities (Regional

Offices, centers, screening agencies)

were asked to comment on the existing

questionnaire. Twenty-five responses

were received and analyzed. As a result,

the proposed revision (attached) has

been developed as being easier to

administer, and bringing forth more

specific information readily usable by

regional health consultants and center

health staff.

Type of Review: Revision.

Agency: Employment and Training

Administration.

Title: Job Corps Health Questionnaire.

OMB Number: 1205–0033.

Agency Number: ETA 6–53.

Record Keeping: Records are

maintained for 3 years.

Affected Public: Individual or

households, Business or other for-profit,

Not for profit institutions, Federal

Government, State or Local or Tribal

Government.

Total Respondents: 103,000 annually.

Frequency: Once per applicant.

Total Responses: 1.

Average Time Per Response: 12

minutes.

Estimated Total Burden Hours:

20,600.

Total Burden Cost: $6,500.

Comments submitted in response to

this comment request will be

summarized and/or included in the

request for Office of Management and

Budget approval of the information

collection requirements; they will also

become a matter of public record.

Dated: July 1, 1996.

Signing Official:

Mary H. Silva,

National Director, Job Corps.

BILLING CODE 4510–30–M
36570 Federal Register / Vol. 61, No. 134 / Thursday, July 11, 1996 / Notices
Federal Register / Vol. 61, No. 134 / Thursday, July 11, 1996 / Notices 36571

BILLING CODE 4510–30–C
36572 Federal Register / Vol. 61, No. 134 / Thursday, July 11, 1996 / Notices

Job Corps Health Questionnaire, ETA

6–53

1. Purpose. To obtain a health history

on each applicant to determine health

eligibility of the applicant to enter Job

Corps.

2. Originator. Job Corps admissions

counselor.

3. Frequency. Once for each student at

time of application.

4. Distribution. This is a 2-page form.

If there are ‘‘yes’’ answers to one or

more questions on the form, you must

obtain relevant physician/institution

reports and forward the applicant’s

folder, including the ETA 6–53, to the

Job Corps Regional Office for review.

The center of assignment receives the

original ETA 6–53 if the region approves

the application. A copy is retained by

the Regional Office.

5. General Instructions. Information is

placed on the form as given by the

applicant during the health interview.

This information is confidential and

must be so maintained by the

admissions counselor. The admissions

counselor must:

a. Ensure that the health

questionnaire is fully understood by the

applicant and that all entries are

completed and appropriately written or

checked.

b. Score the health questionnaire.

c. Obtain additional information or

arrange for a new health examination or

evaluation for the applicant when

requested by the regional health

consultant.

6. Detailed Instructions.

Item Comments

1 ........ Self Explanatory.

2 ........ Self Explanatory.

3 ........ Self Explanatory.

4 ........ Self Explanatory.

5 ........ Accept weight given by applicant;

however, raise questions if there is

a great difference (25 or more

pounds) between given weight and

the admission counselor’s estimate

based on observation. Note large

variations under Item 11.

6 ........ Self Explanatory.

7,8 ..... Ask questions as stated and check

‘‘NO’’ or ‘‘YES.’’

a. Attach copy of insurance or Medicaid card if appropriate.

b. If possible, obtain the medical diagnosis of the condition rather

than the applicant’s description of

symptons.

c. Establish appropriate dates for the

onset of the condition and date it

ceased, if appropriate.

Item Comments

d. Obtain information for each condition. Explain how often the problem occurs (e.g., heart condition—

cannot walk up stairs without getting short of breath). Be sure to

specify whether the applicant still

has the condition.

e. For question 8i, list all allergies

(such as to foods, dust, penicillin)

and include what type of allergic

response the applicant has (e.g.,

hives, sneezing, headaches).

f. Obtain information about all hospital stays even if several were for

the same condition. List only dates

that applicant was in the hospital.

Do not include emergency room

visits.

10 The admissions counselor will score

the questionnaire as follows:

a. If answers to all items in questions

8 and 9 are ‘‘NO,’’ score as category ‘‘A.’’

b. If there are any ‘‘YES’’ answers,

or if the admissions counselor observes peculiarity of behavior, or if

the applicant admits pregnancy,

score as category ‘‘B.’’

11 Use this section to record:

a. Any comments provided by the

applicant for questions 8 and 9. If

the applicant is not sure whether

he/she had one of the conditions

mentioned in questions 8 or 9, include whatever information the applicant provides.

If the applicant is reluctant to give

additional information, the admissions counselor must not pressure

the applicant. Indicate in this section that the applicant declined to

comment.

b. Observations made by the admissions counselor regarding the

physical limitations or the emotional state of the applicant. Observe whether the applicant has

obvious physical disabilities (e.g.,

walks with a limp) or peculiarity in

behavior (e.g., stares or twitches).

[FR Doc. 96–17276 Filed 7–10–96; 8:45 am]

BILLING CODE 4510–30–M

NATIONAL AERONAUTICS AND

SPACE ADMINISTRATION

[Notice (96–072)]

Government-Owned Inventions;

Available for Licensing

AGENCY: National Aeronautics and

Space Administration.

ACTION: Notice of availability of

inventions for licensing.

SUMMARY: The inventions listed below

are assigned to the National Aeronautics

and Space Administration, have been

filed in the United States Patent and

Trademark Office, and are available for

licensing.

Copies of patent applications cited are

available from the Office of Patent

Counsel, Goddard Space Flight Center,

Mail Code 204, Greenbelt, MD 20771.

Claims are deleted from the patent

applications to avoid premature

disclosure.

EFFECTIVE DATE: July 11, 1996.

FOR FURTHER INFORMATION CONTACT:

R. Dennis Marchant, Patent Counsel,

Goddard Space Flight Center, Mail Code

204, Greenbelt, MD 20771; telephone

(301) 286–7351, fax (301) 286–0237.

NASA Case No. GSC–13,546–2:

Interface using Video Camera Signals for

Laser Triggering Including Background

Light Suppression;

NASA Case No. GSC–13,562–2:

Absolute Linear Encoding Device;

NASA Case No. GSC–13,614–1:

Capaciflector—Guided Mechanisms;

NASA Case No. GSC–13,621–1: Twist

Planet Drive;

NASA Case No. GSC–13,552–1:

Method for Coding Multiple Source

Data Sets;

NASA Case No. GSC–13,612–1:

Magnetic Antenna Using Metallic Glass;

NASA Case No. GSC–13,635–1:

Method of Manufacture and Apparatus

for Collimating the Output of MultipleBar Diode Laser Arrays;

NASA Case No. GSC–13,618–1:

Frequency Scanning Capaciflector;

NASA Case No. GSC–13,649–1: Small

High Torque Reaction Momentum

Wheel;

NASA Case No. GSC–13,638–1:

Wideband Gain Stable Amplifier;

NASA Case No. GSC–13,644–2:

Optical Fiber Cable Chemical Stripping

Fixture;

NASA Case No. GSC–13,672–1:

System and Method for Creating Expert;

NASA Case No. GSC–13,524–2:

Method and Apparatus for Advanced

Ultrasonic Imaging;

NASA Case No. GSC–13,329–1:

Capillary Pumpted Loop Body Warmer;

NASA Case No. GSC–13,674–1: Screw

Released Roller Brake;

NASA Case No. GSC–13,692–1: RollUnlocking Sprags;

NASA Case No. GSC–13,706–1: Pistol

Grip Power Tool;

NASA Case No. GSC–13,635–2:

Method of Manufacture and Apparatus

for Collimating the Output of MultipleBar Diode Laser Arrays;

NASA Case No. GSC–13,701–1: 3-D

Capaciflector;

NASA Case No. GSC–13,681–1: Low

Cost GPS Receiver.