57960 Federal Register / Vol. 75, No. 184 / Thursday, September 23, 2010 / Notices 

Information will also be collected 

from a comparison group of 700 

respondents who will complete pre- and 

post-intervention questionnaires, but 

will not participate in the discussion 

groups or review the briefing materials. 

The goal is to identify key issues for 

community obesity prevention 

programs, to refine promising obesity 

prevention practices for targeted 

communities, and to facilitate the 

dissemination of promising practices for 

obesity prevention. OMB approval is 

requested for one year. There are no 

costs to respondents other than their 

time. The total estimated annualized 

burden hours are 2,034. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of respondents 

Number of responses per respondent Average burden per 

response 

(in hours) 

General Public .................................... Discussion Group Moderator’s Guide 250 4 1 

Discussion Group Confirmation and 

Instructions.

250 1 10/60 

Briefing Materials ................................ 250 1 10/60 

On-Line Questionnaire: Deliberative 

Poll on Obesity Prevention and 

Control.

950 2 30/60 

Dated: September 15, 2010. 

Carol Walker, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2010–23758 Filed 9–22–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30-Day–10–0783] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–5806. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

Evaluation of Safe Dates Project— 

(OMB No. 0920–0783 exp. 6/30/2011)— 

Revision—National Center for Injury 

Prevention and Control (NCIPC), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Safe Dates, a dating violence 

prevention curriculum for 8th and 9th 

grade students, has been shown to be 

effective at preventing victimization and 

perpetration of teen dating violence in 

one rural North Carolina school district, 

but appropriateness of the program with 

urban, high-risk adolescents is 

unknown. CDC has learned additional 

information about violence and risk 

factors for adolescents in urban, highrisk communities since the original 

OMB clearance package was submitted. 

Recent research also has shown that 

adolescents who live in urban, 

disadvantaged communities report 

significantly higher prevalence of some 

risky behaviors, including violence, 

than nationally representative U.S. 

adolescents (Swahn & Bossarte, 2009). 

To assess whether Safe Dates should be 

modified for urban, high-risk 

adolescents, CDC requests OMB 

approval to conduct focus groups with 

students and interviews with teachers at 

urban schools in the 2010–2011 school 

year. Data collection staff will use new 

interview guides designed for this 

purpose. The data collection will 

require participation from teachers at 

eight schools who delivered the Safe 

Dates program and students at one 

school who received the program. 

Qualitative data will be collected 

through student focus groups and 

teacher interviews. Students will 

complete a participant profile form to 

capture basic demographic information. 

Approximately 40 students at one 

school will participate in focus groups. 

Two focus groups will consist of 8–10 

boys, and two focus groups will include 

8–10 girls. Informed written consent 

from parents for each student’s 

participation and informed written 

assent from tenth graders for their own 

participation will be obtained. Twenty 

teachers will participate in interviews. 

Students and teachers will be asked 

about their experiences with the Safe 

Dates program and ideas they may have 

about adapting the program for urban 

schools. 

There is no cost to respondents other 

than their time. The total estimated 

annual burden hours are 14,193. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name No. of respondents 

No. of responses per 

respondent 

Average burden per 

response 

(in hours) 

Student ............................................................ Student Effectiveness Baseline Survey ......... 10,158 1 35/60

1st Student mid-implementation survey ......... 3,612 1 25/60 

2nd Student mid-implementation survey ....... 3,612 1 25/60 

Student Effectiveness Follow-up Survey ....... 8,126 1 35/60 

Principal .......................................................... Baseline principal survey ............................... 49 1 15/60 

Mid-implementation principal survey .............. 32 1 15/60 

End-of-school-year principal survey ............... 49 1 15/60 


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Federal Register / Vol. 75, No. 184 / Thursday, September 23, 2010 / Notices 57961 

ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondent Form name No. of respondents 

No. of responses per 

respondent 

Average burden per 

response 

(in hours) 

Student ............................................................

(new instrument) .............................................

Student Focus Group Guide (student demographic data and focus group questions).40 1 1.5 

Prevention coordinator .................................... Baseline prevention coordinator survey ......... 49 1 15/60 

Mid-implementation prevention coordinator 

survey.

32 1 15/60 

End-of-school-year prevention coordinator 

survey.

49 1 15/60 

Follow-up prevention coordinator survey ....... 49 1 5/60 

Teacher ........................................................... Baseline teacher survey ................................. 98 1 15/60 

Teacher Cost survey ...................................... 49 11 20/60 

Fifth session mid-implementation survey ....... 98 2 25/60 

Ninth session mid-implementation survey ..... 98 2 25/60 

Teacher (new instrument) ............................... Teacher Interview Guide ................................ 20 1 1 

Dated: September 17, 2010. 

Maryam I. Daneshvar, 

Reports Clearance Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2010–23872 Filed 9–22–10; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Division of Unaccompanied 

Children’s Services (DUCS) Request for 

Specific Consent. 

OMB No.: New Collection. 

Description: The William Wilberforce 

Trafficking Victims Protection 

Reauthorization Act of 2008 (TVPRA of 

2008), Public Law 110–457 was enacted 

into law December 23, 2008. Section 

235(d) directs the Secretary of HHS to 

grant or deny requests for specific 

consent for unaccompanied alien 

children in HHS custody who seek to 

invoke the jurisdiction of a state court 

for a dependency order and who also 

seek to invoke the jurisdiction of a state 

court to determine or alter his or her 

custody status or release from ORR. 

These requests can be extremely time 

sensitive since a child must ask a state 

court for dependency before turning 18 

years old. 

In developing procedures for 

collecting the necessary information 

from unaccompanied alien children, 

their attorneys, or other representatives 

to allow HHS to approve or deny 

consent requests, ORR/DUCS devised a 

form. Specifically, the form asks the 

requestor for his/her identifying 

information, basic identifying 

information on the unaccompanied 

alien child, the name of the HHS-funded 

facility where the child is in HHS 

custody and care, the name of the court 

and its location, and the kind of request 

(e.g., for a change in custody, etc.). The 

form also asks that the unaccompanied 

alien child’s attorney or authorized 

representative attach a Notice of 

Representation, which is an approved 

federal government agency form used 

for immigration procedures that 

authorizes the attorney to act on behalf 

of the child (i.e., G–28, EOIR–28, EOIR– 

29), or any other form of authorization 

to act on behalf of the unaccompanied 

alien child. 

Respondents: Attorneys, accredited 

legal representatives, or others 

authorized to act on behalf of a 

unaccompanied alien child. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

hours per 

response 

Total burden 

hours 

ORR–0132 ....................................................................................... 72 1 0.33 23.76 

Estimated Total Annual Burden Hours ..................................... ............................ ............................ ............................ 23.76 

Additional Information: 

Copies of the proposed collection may 

be obtained by writing to the 

Administration for Children and 

Families, Office of Administration, 

Office of Information Services, 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. E-mail address: 

infocollection@acf.hhs.gov. 

OMB Comment: 

OMB is required to make a decision 

concerning the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. Written comments and 

recommendations for the proposed 

information collection should be sent 

directly to the following: Office of 

Management and Budget, Paperwork 

Reduction Project, Fax: 202–395–7285, 

E-mail: 

OIRA_SUBMISSION@OMB.EOP.GOV, 

Attn: Desk Officer for the 

Administration for Children and 

Families. 

Dated: September 20, 2010. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2010–23782 Filed 9–22–10; 8:45 am] 

BILLING CODE 4184–01–P 


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