Federal Register / Vol. 75, No. 213 / Thursday, November 4, 2010 / Notices 67975 

Reason: Failed to maintain a valid 

surety bond. 

License Number: 019779N. 

Name: Francisca Envios Inc. 

Address: 1749 NW. 21st Terrace, 

Miami, Fl 33142. 

Date Revoked: October 16, 2010. 

Reason: Failed to maintain a valid 

surety bond. 

License Number: 019871N. 

Name: WLG (USA) LLC Dba Kay 

O’Neill (USA) LLC Dba WLG Line. 

Address: 920 East Algonquin Road, 

Suite 120, Schaumburg, IL 60173. 

Date Revoked: October 22, 2010. 

Reason: Failed to maintain a valid 

surety bond. 

License Number: 020178N. 

Name: LCL Shipping USA, Inc. Dba 

Cargo Planet Logistics. 

Address: 15117 South Broadway 

Street, Gardena, CA 090248. 

Date Revoked: October 15, 2010. 

Reason: Failed to maintain a valid 

surety bond. 

License Number: 020208F. 

Name: Ghanem Forwarding, LLC. 

Address: 3327 Hollins Ferry Road, 

Halethorpe, MD 21227. 

Date Revoked: October 20, 2010. 

Reason: Failed to maintain a valid 

surety bond. 

License Number: 020253NF. 

Name: Concord International 

Transport, Inc. 

Address: 10100 NW. 116th Way, Suite 

14, Medley, FL 33178. 

Date Revoked: October 22, 2010. 

Reason: Failed to maintain valid 

surety bonds. 

License Number: 020660F. 

Name: GAL International Inc. 

Address: 5070 Parkside Avenue, Suite 

3104, Philadelphia, PA 19131. 

Date Revoked: October 17, 2010. 

Reason: Failed to maintain a valid 

surety bond. 

License Number: 020675N. 

Name: Service Galopando Corp. 

Address: 3190 South State Road 7, 

Bay 5, Miramar, FL 33023. 

Date Revoked: October 23, 2010. 

Reason: Failed to maintain a valid 

surety bond. 

License Number: 021466F. 

Name: FJ Logistics Services, LLC. 

Address: 1307 West Sixth Street, 

Corona, CA 92882. 

Date Revoked: October 23, 2010. 

Reason: Failed to maintain a valid 

surety bond. 

License Number: 022152N 

Name: Alpha Global Cargo Inc. 

Address: 9990 NW. 14th Street, Suite 

110, Miami, FL 33172. 

Date Revoked: October 4, 2010. 

Reason: Surrendered license 

voluntarily. 

Sandra L. Kusumoto, 

Director, Bureau of Certification and 

Licensing. 

[FR Doc. 2010–27840 Filed 11–3–10; 8:45 am] 

BILLING CODE 6730–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

[Document Identifier OS–0990–0243; 30-Day 

Notice] 

Agency Information Collection 

Request; 30-Day Public Comment 

Request 

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 a 

proposed collection 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. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, e-mail your request, 

including your address, phone number, 

OMB number, and OS document 

identifier, to 

Sherette.funncoleman@hhs.gov, or call 

the Reports Clearance Office on (202) 

690–5683. Send written comments and 

recommendations for the proposed 

information collections within 30 days 

of this notice directly to the OS OMB 

Desk Officer; faxed to OMB at 202–395– 

5806. 

Proposed Project: The Civil Rights 

Information Request Form—OMB No. 

0990–0243—Reinstatement without 

Change—Office for Civil Rights (OCR). 

Abstract: The Office of Civil Rights 

(OCR) is requesting a 3-year extension of 

the Civil Rights Information Request 

Form. The Civil Rights Information 

Request Form is designed to collect data 

from health care providers who have 

requested certification to participate in 

the Medicare Part A program. As part of 

the Medicare certification process, 

health care facilities must receive a civil 

rights clearance from the OCR. The 

information is used to determine 

compliance with civil rights statutes 

and regulations. The civil rights 

information is requested only when a 

health care provider applies for 

Medicare Part A certification; it is not 

necessary on a regular yearly basis. 

Entities that are affected by the Civil 

Rights Information Request Form are: 

Health care providers applying for 

Medicare certification, and individuals 

who, as a result of civil rights 

clearances, should be granted equal 

access to quality health care, regardless 

of race, color, national origin, disability, 

and age. 

ESTIMATED ANNUALIZED BURDEN TABLE

Forms Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden (in 

hours) per 

response 

Total burden 

hours 

Medicare Certification ................................ Health care providers ............... 2,900 1 8 23,200 


jlentini on DSKJ8SOYB1PROD with NOTICES
67976 Federal Register / Vol. 75, No. 213 / Thursday, November 4, 2010 / Notices 

Seleda Perryman, 

Office of the Secretary, Paperwork Reduction 

Act Clearance Officer. 

[FR Doc. 2010–27838 Filed 11–3–10; 8:45 am] 

BILLING CODE 4153–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

[Document Identifier OS–0990–NEW; 

30-Day Notice] 

Agency Information Collection 

Request. 30-Day Public Comment 

Request 

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 a 

proposed collection 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. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, e-mail your request, 

including your address, phone number, 

OMB number, and OS document 

identifier, to 

Sherette.funncoleman@hhs.gov, or call 

the Reports Clearance Office on (202) 

690–5683. Send written comments and 

recommendations for the proposed 

information collections within 30 days 

of this notice directly to the OS OMB 

Desk Officer; faxed to OMB at 202–395– 

5806. 

Proposed Project: Communities 

Putting Prevention to Work Cost Study 

Instrument—OMB No. 0990–NEW— 

Office of the Assistant Secretary for 

Planning and Evaluation (ASPE). 

Abstract: The American Recovery and 

Reinvestment Act of 2009 was signed 

into law on February 17, 2009, Public 

Law 11.5 (‘‘Recovery Act’’). 

Communities Putting Prevention to 

Work (CPPW) is a $650 million program 

funded by the Recovery Act. The 

purpose of the proposed data collection 

is to collect quarterly cost information 

from all community-level CPPW 

awardees. This will allow HHS to 

receive reports on direct awardee costs 

associated with carrying out the selected 

evidence-based strategies that are 

required by the Funding Opportunity 

Announcement (FOA) and Notice of 

Grant Award (NGA). This requirement 

is in addition to the financial reporting 

requirements of Section 512 of the 

Recovery Act, set forth by the Office of 

Management and Budget (OMB) under 

the data collection instrument titled 

‘‘Standard Data Elements for Reports 

under Section 1512 of the American 

Recovery and Reinvestment Act of 2009, 

Public Law 111–5 (Grants, Cooperative 

Agreements, and Loans).’’ 

The CPPW objective-based cost data 

submitted by the 51 respondents will 

provide the basis for HHS to assess the 

costs of the various program strategies, 

identify factors that impact average cost, 

and perform cost-effectiveness analysis 

of the program. Performing an 

assessment of the resources expended 

on each CPPW interventions will 

provide valuable information to HHS 

and other agencies within the 

Department for improving program 

efficiency within the various strategies 

of the program. There are no costs to 

respondents except their time to 

participate in the survey. 

ESTIMATED ANNUALIZED BURDEN TABLE

Forms Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

CPPW Cost Study Instrument .......... CPPW Awardees ............................. 51 4 11 2,244 

Seleda Perryman, 

Office of the Secretary, Paperwork Reduction 

Act Reports Clearance Officer. 

[FR Doc. 2010–27842 Filed 11–3–10; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: Adoption and Foster Care 

Analysis Reporting System for title IV– 

B and title IV–E (AFCARS). 

OMB No.: 0980–0267. 

Description: Section 479 of title IV–E 

of the Social Security Act (the Act) 

directs States to establish and 

implement an adoption and foster care 

reporting system. Federal regulations at 

45 CFR 1355.40 sets forth the 

requirements of section 479 of the 

Social Security Act for the collection of 

uniform, reliable information on 

children who are under the 

responsibility of the State title IV–B/IV– 

E agency for placement, care, and 

adoption. The respondents are child 

welfare agencies in the 50 States, the 

District of Columbia, and Puerto Rico. 

The data collected will inform State/ 

Federal policy decisions, program 

management, and responses to 

Congressional and Departmental 

inquiries. Specifically, the data are used 

for short/long-term budget projections, 

trend analysis, child and family service 

reviews, and to target areas for 

improved technical assistance. The data 

will provide information about foster 

care placements, adoptive parents, 

length of time in care, delays in 

termination of parental rights and 

placement for adoption. 

Respondents: State Child Welfare 

Agencies. 


jlentini on DSKJ8SOYB1PROD with NOTICES