Federal Register / Vol. 79, No. 218 / Wednesday, November 12, 2014 / Notices 67167 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects: Conduct an 

electronic survey of 2012-funded Family 

Connection grantees to collect process 

evaluation data to include as part of the 

Cross-Site Evaluation. 

Title: Cross-site Evaluation Survey 

2012 Family Connection Grantees. 

OMB No.: New. 

Description: In the interest of 

providing as complete an evaluation 

report as possible by the end of FY15, 

the Children’s Bureau has directed the 

contractor conducting the Cross-site 

Evaluation to adopt the most efficient 

means possible to collect process 

evaluation data from grantees. The 

proposed electronic survey will replace 

originally planned in-person and 

telephone discussions with electronic 

surveys. This will enable collection of 

key information on project design, 

implementation, maintenance, and 

sustainability from key grantee 

representatives in an abbreviated 

amount of time. The quantitative nature 

of the surveys will enable rapid data 

analysis and reporting. 

Respondents: The Cross-site 

Evaluation addresses a total of 

seventeen (17) Family Connection 

grantees. Four categories of participants 

will be surveyed: Project Leadership, 

Service Providers, Project Partners 

(public child welfare and community 

agencies), and Evaluators. For each 

grantee, an average of 20 respondents is 

anticipated: 4 project leadership, 9 

service providers, 2 public child welfare 

agency representatives, 2 community 

partner representatives, and 3 

evaluators. These numbers of 

participants, per category, are used in 

the table below to calculate the number 

of respondents, across the 17 projects to 

be surveyed. Differences in burden 

estimates for the different instruments 

reflect the number of questions in each. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Project Leadership Protocol ............................................................................ 79 1 .75 59 .25 

Service Provider Protocol ................................................................................ 153 1 .5 76 .5 

Public Child Welfare Partner Protocol ............................................................. 34 1 .25 8 .5 

Community Partner Protocol ............................................................................ 34 1 .25 8 .5 

Evaluator Protocol ........................................................................................... 51 1 .75 38 .25 

Estimated Total Annual Burden Hours ..................................................... ........................ ........................ ........................ 191 .00 

In compliance with the requirements 

of Section 506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade SW., Washington, DC 20447, 

Attn: ACF Reports Clearance Officer. 

Email address: infocollection@

acf.hhs.gov. All requests should be 

identified by the title of the information 

collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2014–26667 Filed 11–10–14; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Request for Assistance for Child 

Victims of Human Trafficking. 

OMB No.: 0970–0362. 

Description: The William Wilberforce 

Trafficking Victims Protection 

Reauthorization Act (TVPRA) of 2008, 

Public Law 110–457, directs the U.S. 

Secretary of Health and Human Services 

(HHS), upon receipt of credible 

information that an alien child may 

have been subjected to a severe form of 

trafficking in persons and is seeking 

Federal assistance available to victims 

of trafficking, to promptly determine if 

the child is eligible for interim 

assistance. The law further directs the 

Secretary of HHS to determine if a child 

receiving interim assistance is eligible 

for assistance as a victim of a severe 

form of trafficking in persons after 

consultation with the Attorney General, 

the Secretary of Homeland Security, and 

nongovernmental organizations with 

expertise on victims of severe form of 

trafficking. 

In developing procedures for 

collecting the necessary information 

from potential child victims of 

trafficking, their case managers, 

attorneys, or other representatives to 

allow HHS to grant interim eligibility, 

HHS devised a form. HHS has 

determined that the use of a standard 

form to collect information is the best 

way to ensure requestors are notified of 

their option to request assistance for 

child victims of trafficking and to make 

prompt and consistent determinations 

about the child’s eligibility for 

assistance. 

Specifically, the form asks the 

requestor for his/her identifying 

information, for information on the 

child, information describing the type of 

trafficking and circumstances 

surrounding the situation, and the 

strengths and needs of the child. The 

form also asks the requestor to verify the 

information contained in the form 

because the information could be the 

basis for a determination of an alien 

child’s eligibility for federally funded 


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