# 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 23, 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:* Office on Women's Health: IPV Provider Network Cross-Site Evaluation.
| Form name | Number of | Number of | Average | Total burden hours |
| --- | --- | --- | --- | --- |
| Semi-annual online Service Provider Assessments | 50 | 2 | 30/60 | 50 |
| Key informant interviews | 50 | 1 | 1 | 50 |
| Total | | | | 100 |
Terry S. Clark,
Asst Information Collection Clearance Officer.