# Agency Information Collection Activities; Submission to OMB for Review and Approval; Public Comment Request
**AGENCY:**
Office of the Secretary, HHS.
**ACTION:**
Notice.
**SUMMARY:**
In compliance with section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, has submitted an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB) for review and approval. The ICR is for a new collection. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public on this ICR during the review and approval period.
**DATES:**
Comments on the ICR must be received on or before September 22, 2016.
**ADDRESSES:**
Submit your comments to *[email protected]* or via facsimile to (202) 395-5806.
**FOR FURTHER INFORMATION CONTACT:**
Information Collection Clearance staff, *[email protected]* or (202) 690-6162.
**SUPPLEMENTARY INFORMATION:**
When submitting comments or requesting information, please include the Information Collection Request Title and document identifier HHS-OS-0990-New-30D for reference.
*Information Collection Request Title:* Evaluation of the Women's Health Leadership Institute Program.
*Abstract:* The U.S. Department of Health and Human Services (HHS) Office on Women's Health (OWH) is requesting approval for new data collection to assess the impact of the Women's Health Leadership Institute (WHLI) program. The WHLI trained community health workers (CHWs) to gain leadership skills and to use a public health systems approach to address chronic disease and health disparities in their communities. WHLI employed a train-the-trainers model ( *i.e.,* experienced personnel coach and mentor inexperienced instructors to develop skills and knowledge needed to deliver the course), where Master Trainers (MTs) learned to deliver the WHLI training curriculum to CHWs. At the end of the program, CHWs received guidance on developing Community Action Projects (CAPs) to implement systems-level changes in their communities.
The evaluation will consist of both a process evaluation that focuses on CHWs' satisfaction with the training and suggestions for improvement, and an outcome evaluation that assesses (1) intermediate outcomes including the sustainability of CHWs' leadership knowledge and competencies, and the application of these competencies in leadership activities and CAP development.; and (2) long-term outcomes including positive systemic and/or community level changes made around women's health issues. Data from the study will enable OWH to understand what components of the training were most successful and to identify aspects of the training in need of improvement. Results will also help OWH with planning and developing future training initiatives to promote effective programs for women and girls.
| Form name | Number of | Number of | Average | Total burden |
| --- | --- | --- | --- | --- |
| Online Survey—All CHWs | 422 | 1 | 25/60 | 176 |
| Telephone Interviews—CHWs with completed CAPs or other leadership activities | 40 | 1 | 30/60 | 20 |
| Telephone Interviews—Master Trainers | 18 | 1 | 30/60 | 9 |
| Telephone Interviews—CHW Worksite Supervisors | 20 | 1 | 30/60 | 10 |
| Telephone Interviews— Community Stakeholders | 20 | 1 | 30/60 | 10 |
| Total | 520 | | | 225 |
Terry S. Clark,
Asst Information Collection Clearance Officer.