Federal Register / Vol. 74, No. 141 / Friday, July 24, 2009 / Notices 36715 

Data collection instrument(s) Number of 

respondents 

Responses per 

respondent 

Total annual 

response 

Burden hour 

per response* 

Annual burden 

hours 

Scholarship Application Bubble Sheet (IHS–856) ........ 1,500 1 1,500 1.00 (60 min) 1,500 

Application Checklist (IHS–856–2) ............................... 1,500 1 1,500 0.13 (8 min) .. 195 

Faculty/Employer Evaluation (IHS–856–3) .................. 1,500 2 3,000 0.83 (50 min) 2,490 

Narrative Statements (IHS–856–4) .............................. 1,500 1 1,500 0.75 (45 min) 1,125 

Delinquent Federal Debt (IHS–856–5) ......................... 1,500 1 1,500 0.13 (8 min) .. 195 

Course Curriculum Verification (IHS–856–6) ............... 1,500 1 1,500 0.70 (42 min) 1,050 

Verification of Acceptance or Decline of Award (IHS– 

856–7).

650 1 650 0.13 (8 min) .. 84 

Recipient’s Initial Program Progress Report (IHS– 

856–8).

1,300 1 1,300 0.13 (8 min) .. 169 

Notification of Academic Problem (IHS–856–9) ........... 50 1 50 0.13 (8 min) .. 6 

Change of Status (IHS–856–10) .................................. 50 1 50 0.45 (25 min) 6 

Request for Approval of Deferment (IHS–856–11) ...... 20 1 20 0.13 (8 min) .. 3 

Preferred Placement (IHS–856–12) ............................. 200 1 200 0.75 (45 min) 150 

Notice of Impending Graduation (IHS–856–13) ........... 250 1 250 0.17 (10 min) 43 

Notification of Deferment Program (IHS–856–14) ....... 20 1 20 0.13 (8 min) .. 3 

Placement Update (IHS–856–15) ................................ 250 1 250 0.18 (11 min) 45 

Annual Status Report (IHS–856–16) ............................ 250 1 250 0.25 (15 min) 63 

Extem Site Preference Request (IHS–856–17) ........... 150 1 150 0.13 (8 min) .. 20 

Request for Extern Travel Reimbursement (IHS–856– 

18).

150 1 150 0.10 (6 min) .. 15 

Lost Stipend Payment (IHS–856–19) ........................... 100 1 100 0.13 (8 min) .. 13 

Request for Tutorial Assistance (IHS–856–20) ............ 217 1 217 0.13 (8 min) .. 28 

Summer School Request (IHS–856–21) ...................... 193 1 193 0.10 (6 min) .. 19 

Change of Name or Address (IHS–856–22) ................ 20 1 20 0.13 (8 min) .. 6 

Request for Credit Validation (IHS–856–23) ................ 150 1 150 0.10 (6 min) .. 20 

Faculty/Advisor Evaluation (IHS–856–24) .................... 1,500 2 3,000 0.83 (50 min) 2,490 

Acknowledgment Card (IHS–815) ................................ 1,500 1 1,500 0.03 (2 min) .. 45 

Address Change Notice (IHS–816) .............................. 25 1 25 0.02 (1 min) .. 25 

Scholarship Program Agreement (IHS–817) ................ 850 1 850 0.05 (3 min) .. 43 

Health Professions Contract (IHS–818) ....................... 850 1 850 0.05 (3 min) .. 33 

Total ....................................................................... 17,745 .......................... .......................... ....................... 9,884 

* For ease of understanding, burden hours are also provided in actual minutes. 

There are no Capital Costs, Operating 

Costs, and/or Maintenance Costs to 

report. 

Request for Comments: Your written 

comments and/or suggestions are 

invited on one or more of the following 

points: (a) Whether the information 

collection activity is necessary to carry 

out an agency function; (b) whether the 

agency processes the information 

collected in a useful and timely fashion; 

(c) the accuracy of public burden 

estimate (the estimated amount of time 

needed for individual respondents to 

provide the requested information); (d) 

whether the methodology and 

assumptions used to determine the 

estimate are logical; (e) ways to enhance 

the quality, utility, and clarity of the 

information being collected; and (f) 

ways to minimize the public burden 

through the use of automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology. 

Send Comments and Requests for 

Further Information: Send your written 

comments and requests for more 

information on the proposed collection 

or requests to obtain a copy of the data 

collection instrument(s) and 

instructions to: Ms. Betty Gould, 

Regulations Officer, 801 Thompson 

Avenue, TMP, Suite 450, Rockville, MD, 

20852, call non-toll free (301) 443–7899, 

send via facsimile to (301) 443–9879, or 

send your e-mail requests, comments, 

and return address to: 

betty.gould@ihs.gov. Comment Due 

Date: Your comments regarding this 

information collection are best assured 

of having full effect if received within 

60 days of the date of this publication. 

Dated: July 17, 2009. 

Yvette Roubideaux, 

Director, Indian Health Service. 

[FR Doc. E9–17454 Filed 7–23–09; 8:45 am] 

BILLING CODE 4165–16–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Agency Recordkeeping/Reporting 

Requirements Under Emergency 

Review by the Office of Management 

and Budget (OMB) 

Title: Application for the Emergency 

Form for CSBG/ARRA Expenditure 

Report. 

OMB No.: New Collection. 

Description: On February 17 2009, 

President Obama signed into law the 

American Recovery and Reinvestment 

Act of 2009 (Recovery Act). The 

Recovery Act provided for $1 billion in 

additional funds to the Community 

Services Block Grant (CSBG) program 

for Federal Fiscal Year 2009; however 

the grant period runs through FY 2010. 

As with regularly appropriated CSBG 

funds, Recovery Act funds may be used 

for the reduction of poverty, the 

revitalization of low-income 

communities, and the empowerment of 

low-income families and individuals in 

rural and urban areas to become fully 

self-sufficient. 

To be in compliance with Recovery 

Act (Pub. L. 111–5) Section 1512(c)(1) 

through (B) a backup sheet was created 

to identify the various activities that 

make up the total Federal share of 

outlays reported on the 269A Report 

line 10(a). The CSBG/ARPA Fund 

provides resources to States, Territories, 

and Tribes to support work and families 

during this difficult economic period. 

We plan to issue a backup sheet for 

the 269A Report with instructions for 

jurisdictions to complete; which would 

provide detail information to support 


srobinson on DSKHWCL6B1PROD with NOTICES
36716 Federal Register / Vol. 74, No. 141 / Friday, July 24, 2009 / Notices 

line 10(a) of the aforementioned 

document. 

Failure to collect this data would 

compromise ACF’s ability to monitor 

expenditure patterns by the grantees. 

Documentation maintenance on 

financial reporting for the CSBG Fund is 

governed by 45 CFR 96.30. 

Respondents: State, Territory, and 

Tribal agencies administering the 

Community Service Block Grant (CSBG) 

Program Fund. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

CSBG/ARRA .................................................................................................... 103 4 4 1,648 

Estimated Total Annual Burden 

Hours: 1,648. 

Additional Information: 

ACF is requesting that OMB grant a 90 

day approval for this information 

collection under procedures for 

emergency processing by July 31, 2009. 

A copy of this information collection, 

with applicable supporting 

documentation, may be obtained by 

calling the Administration for Children 

and Families, Reports Clearance Officer, 

Janean Chambers at (202) 690–6547. 

Comments and questions about the 

information collection described above 

should be directed to the Office of 

Information and Regulatory Affairs, 

Attn: OMB Desk Officer for ACF, Office 

of Management and Budget, Paperwork 

Reduction Project, 725 17th Street, NW., 

Washington, DC 20503, FAX (202) 395– 

5806. 

Dated: July 16, 2009. 

Janean Chambers, 

Reports Clearance Officer. 

[FR Doc. E9–17462 Filed 7–23–09; 8:45 am] 

BILLING CODE 4184–01–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: Application for the Emergency 

Form for CSBG/ARRA Expenditure 

Report. 

OMB No.: New Collection. 

Description: On February 17, 2009, 

President Obama signed into law the 

American Recovery and Reinvestment 

Act of 2009 (Recovery Act). The 

Recovery Act provided for $1 billion in 

additional funds to the Community 

Services Block Grant (CSBG) program 

for Federal Fiscal Year 2009; however, 

the grant period runs through FY 2010. 

As with regularly appropriated CSBG 

funds, Recovery Act funds may be used 

for the reduction of poverty, the 

revitalization of low-income 

communities, and the empowerment of 

low-income families and individuals in 

rural and urban areas to become fully 

self-sufficient. 

To be in compliance with Recovery 

Act (Pub. L. 111–5) section 1512(c)(1) 

through (B), a backup sheet was created 

to identify the various activities that 

make up the total Federal share of 

outlays reported on the 269A Report 

line 10(a). The CSBG/ARRA Fund 

provides resources to States, Territories, 

and Tribes to support work and families 

during this difficult economic period. 

We plan to issue a backup sheet for the 

269A Report with instructions for 

jurisdictions to complete, which would 

provide detailed information to support 

line 10(a) of the aforementioned 

document. 

Failure to collect this data would 

compromise ACF’s ability to monitor 

expenditure patterns by the grantees. 

Documentation maintenance on 

financial reporting for the CSBG Fund is 

governed by 45 CFR 96.30. 

Respondents: State, Territory, and 

Tribal agencies administering the 

Community Service Block Grant (CSBG) 

Program Fund. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average burden 

hours per 

response 

Total burden 

hours 

CSBG/ARRA Plan ................................................................................... 103 4 4 1,648 

Estimated Total Annual Burden 

Hours: 1,648 

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 Administration, 

Office of Information Services, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. E-mail 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. 

Dated: July 20, 2009. 

Janean Chambers, 

Reports Clearance Officer. 

[FR Doc. E9–17561 Filed 7–23–09; 8:45 am] 

BILLING CODE 4184–01–P 


srobinson on DSKHWCL6B1PROD with NOTICES