Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Agency Forms Undergoing Paperwork Reduction Act Review

Periodically, the Health Resources and Services Administration

(HRSA) publishes a list of information collection requests under

review, in compliance with the Paperwork Reduction Act (44 U.S.C.

Chapter 35). To request a copy of these documents, call the HRSA

Reports Clearance Office on (301)-443-1129.

The following request has been submitted to the Office of

Management and Budget for review:

1. Data Collection and Reporting Requirements for Healthy Start--

Extension and Revision--Patient records and aggregate data are being

collected from Healthy Start grantees in order to evaluate the overall

effectiveness of the initiative and the value of specific interventions

for varying groups of target women. A number of minor revisions have

been proposed based on consultations with grantees regarding

availability and utility of the data. Burden estimates are as follows:

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Average

Responses burden Total

Type of report No. of per per burden

respondents respondent response hours

(hrs)

----------------------------------------------------------------------------------------------------------------

Patient Data..................................................... 15 4 80 4,800

Midyear Reports.................................................. 15 1 5 75

Aggregate Reports................................................ 15 1 40 600

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Estimated Total Annual Burden: 5,475 hours.

Written comments and recommendations concerning the proposed

information collections should be sent within 30 days of this notice

to: Allison Eydt, Human Resources and Housing Branch, Office of

Management and Budget, New Executive Office Building, Room 10235,

Washington, DC 20503.

Dated: October 20, 1995.

J. Henry Montes,

Associate Administrator for Policy Coordination.

[FR Doc. 95-26496 Filed 10-24-95; 8:45 am]

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