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the state home visiting program in
targeted at-risk communities; progress
toward meeting legislatively-mandated
reporting on benchmark areas; state
home visiting quality improvement
efforts; and updates on the
administration of state home visiting
program.
Since federal fiscal year 2011, 48
eligible entities have received
competitive grant awards. Some
grantees have been awarded up to three
competitive grants to date. Grantees of
the competitive grant program need to

complete annual reports in order to
comply with legal and policy reporting
requirements.
Likely Respondents: Grantees with
Home Visiting Competitive Awards
Awarded in Federal FY 2013–FY 2017.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install and utilize
technology and systems for the purpose

of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this Information
Collection Request are summarized in
the table below.

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Summary progress on the following activities
Home Visiting Competitive Grant Progress Report—FY
2012, FY 2013, FY 2014 ..................................................
Home Visiting Competitive Grant Progress Report—FY
2015 ..................................................................................
Home Visiting Competitive Grant Progress Report—FY
2016 FY 2017 ...................................................................
Total ..............................................................................

HRSA specifically requests comments
on (1) the necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions, (2) the accuracy of the
estimated burden, (3) ways to enhance
the quality, utility, and clarity of the
information to be collected, and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Jackie Painter,
Director, Division of the Executive Secretariat.
[FR Doc. 2015–08708 Filed 4–15–15; 8:45 am]
BILLING CODE 4165–15–P

DEPARTMENT OF HOMELAND
SECURITY
U.S. Customs and Border Protection
[1651–0111]

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Agency Information Collection
Activities: Arrival and Departure
Record (Forms I–94 and I–94W) and
Electronic System for Travel
Authorization
U.S. Customs and Border
Protection, Department of Homeland
Security.
ACTION: 30-Day notice and request for
comments; Extension and revision of an
existing collection of information.
AGENCY:

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Number of
responses per
respondent

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Total burden
hours

1

37

25

925

32

1

35

25

875

47

2

94

25

2350

116

4

166

75

4150

U.S. Customs and Border
Protection (CBP) of the Department of
Homeland Security will be submitting
the following information collection
request to the Office of Management and
Budget (OMB) for review and approval
in accordance with the Paperwork
Reduction Act: CBP Form I–94 (Arrival/
Departure Record), CBP Form I–94W
(Nonimmigrant Visa Waiver Arrival/
Departure), and the Electronic System
for Travel Authorization (ESTA). This is
a proposed extension of an information
collection that was previously
approved. CBP is proposing that this
information collection be extended with
a change to the burden hours and a
revision to the information collected.
This document is published to obtain
comments from the public and affected
agencies.
DATES: Written comments should be
received on or before May 18, 2015 to
be assured of consideration.
ADDRESSES: Interested persons are
invited to submit written comments on
this proposed information collection to
the Office of Information and Regulatory
Affairs, Office of Management and
Budget. Comments should be addressed
to the OMB Desk Officer for Customs
and Border Protection, Department of
Homeland Security, and sent via
electronic mail to oira_submission@
omb.eop.gov or faxed to (202) 395–5806.
FOR FURTHER INFORMATION CONTACT:
Requests for additional information
should be directed to Tracey Denning,

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Hours per
response

37

SUMMARY:

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Total
responses

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U.S. Customs and Border Protection,
Regulations and Rulings, Office of
International Trade, 90 K Street NE.,
10th Floor, Washington, DC 20229–
1177, at 202–325–0265.
SUPPLEMENTARY INFORMATION: This
proposed information collection was
previously published in the Federal
Register (79 FR 73096) on December 9,
2014, allowing for a 60-day comment
period. This notice allows for an
additional 30 days for public comments.
This process is conducted in accordance
with 5 CFR 1320.10. CBP invites the
general public and other Federal
agencies to comment on proposed and/
or continuing information collections
pursuant to the Paperwork Reduction
Act of 1995 (Pub. L. 104–13; 44 U.S.C.
3507). The comments should address:
(a) Whether the 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
estimates of the burden of the collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; (d) ways to
minimize the burden, including the use
of automated collection techniques or
the use of other forms of information
technology; and (e) the annual costs to
respondents or record keepers from the
collection of information (total capital/
startup costs and operations and
maintenance costs). The comments that
are submitted will be summarized and

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included in the CBP request for OMB
approval. All comments will become a
matter of public record. In this
document, CBP is soliciting comments
concerning the following information
collection:
Title: Arrival and Departure Record,
Nonimmigrant Visa Waiver Arrival/
Departure, and Electronic System for
Travel Authorization (ESTA).
OMB Number: 1651–0111.
Form Numbers: I–94 and I–94W.
Abstract:
Background
CBP Forms I–94 (Arrival/Departure
Record) and I–94W (Nonimmigrant Visa
Waiver Arrival/Departure Record) are
used to document a traveler’s admission
into the United States. These forms are
filled out by aliens and are used to
collect information on citizenship,
residency, passport, and contact
information. The data elements
collected on these forms enable the DHS
to perform its mission related to the
screening of alien visitors for potential
risks to national security, and the
determination of admissibility to the

United States. The Electronic System for
Travel Authorization (ESTA) applies to
aliens traveling to the United States
under the Visa Waiver Program (VWP)
and requires that VWP travelers provide
information electronically to CBP before
embarking on travel to the United
States. Travelers who are entering under
the VWP in the air or sea environment,
and who have a travel authorization
obtained through ESTA, are not
required to complete the paper Form I–
94W.
Pursuant to an interim final rule
published on March 27, 2013 in the
Federal Register (78 FR 18457) related
to Form I–94, CBP has partially
automated the Form I–94 process. CBP
now gathers data previously collected
on the paper Form I–94 from existing
automated sources in lieu of requiring
passengers arriving by air or sea to
submit a paper I–94 upon arrival.
Passengers can access and print their
electronic I–94 via the Web site at
www.cbp.gov/I94.
ESTA can be accessed at: https://
esta.cbp.dhs.gov. Samples of CBP Forms

I–94 and I–94W can be viewed at:
http://www.cbp.gov/document/forms/
form-i-94-arrivaldeparture-record and
http://www.cbp.gov/document/forms/
form-i-94w-visa-waiverarrivaldeparture-record.
Recent and Proposed Changes
In response to the increasing concerns
regarding national security, DHS used
the emergency Paperwork Reduction
Act process to strengthen the security of
the VWP by adding data elements to
ESTA and to Form I–94W. DHS
determined that the addition of these
new data elements improves the
Department’s ability to screen
prospective VWP travelers while more
accurately and effectively identifying
those who pose a security risk to the
United States and facilitates
adjudication of ESTA applications.
The following data elements are either
new elements that were approved in the
emergency PRA submission or data
elements that were collected previously
that were changed from ‘‘optional’’ to
‘‘mandatory’’ on the ESTA application:

tkelley on DSK3SPTVN1PROD with NOTICES

1. Other Names or Aliases ........................................................................................................................................
2. Other Country of Citizenship .................................................................................................................................
3. If yes, passport number on additional citizenship passport ..................................................................................
4. Home Address .......................................................................................................................................................
5. Parents’ Names .....................................................................................................................................................
6. Current or Previous Job Title .................................................................................................................................
7. Current or Previous Employer Name ....................................................................................................................
8. Current or Previous Employer Address .................................................................................................................
9. Current or Previous Employer Telephone number ................................................................................................
10. Primary Email .......................................................................................................................................................
11. Primary Telephone Number .................................................................................................................................
12. U.S. Point of Contact Name ................................................................................................................................
13. U.S. Point of Contact Address .............................................................................................................................
14. U.S. Point of Contact Email .................................................................................................................................
15. U.S. Point of Contact Phone ...............................................................................................................................
16. City of Birth ..........................................................................................................................................................
17. National Identification Number .............................................................................................................................
18. Emergency Point of Contact Information Name ..................................................................................................
19. Emergency Point of Contact Information Email ..................................................................................................
20. Emergency Point of Contact Information Phone .................................................................................................
22. Do you have a current or previous employer? ....................................................................................................
21. Is your travel to the U.S. occurring in transit to another country?

For the following ‘‘mandatory’’ fields
ESTA applicants are permitted to enter
‘‘unknown,’’ if they do not have or
know the information, without
impeding the submission of their ESTA
application: City of Birth, Parents’
Names, National Identification Number,
Emergency Contact Information, U.S.
Point of Contact information, and
Employer Address.
In accordance with guidance from the
Centers for Disease Control and
Prevention, CBP also proposes to revise
the current question about diseases on
ESTA and on Form I–94W as follows:
Currently approved question:

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Do you have a physical or mental
disorder; or are you a drug abuser or
addict; or currently have any of the
following diseases:
• Chancroid
• Gonorrhea
• Granuloma inguinale
• Leprosy, infectious
• Lymphogranuloma venereum
• Syphilis, infectious
• Active Tuberculosis
Proposed new question:
Do you have a physical or mental
disorder; or are you a drug abuser or
addict; or do you currently have any of
the following diseases (communicable
diseases are specified pursuant to

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Mandatory.
Mandatory.
Optional.
Mandatory.
Mandatory.
Optional.
Mandatory.
Mandatory.
Optional.
Mandatory—was optional.
Mandatory—was optional.
Mandatory.
Mandatory.
Mandatory.
Mandatory.
Mandatory.
Mandatory.
Mandatory.
Mandatory.
Mandatory.
Mandatory.
Mandatory.

section 361(b) of the Public Health
Service Act):
• Cholera
• Diphtheria
• Tuberculosis, infectious
• Plague
• Smallpox
• Yellow Fever
• Viral Hemorrhagic Fevers, including
Ebola, Lassa, Marburg, CrimeanCongo
• Severe acute respiratory illnesses
capable of transmission to other
persons and likely to cause mortality.
Current Actions: This submission is
being made to extend the expiration
date with a change to the burden hours

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based on updated estimates of the
numbers of respondents. Specifically,
the number of respondents for the I–94
Web site was decreased by 1,188,899
from 5,047,681 to 3,858,782; the number
of respondents for the ESTA burden was
increased by 920,000 from 22,090,000 to
23,010,000; and the number of
respondents paying the ESTA fee was
increased by 747,000 from 18,183,000 to
18,930,000.
There is also a proposed change to the
question about diseases on ESTA and on
Form I–94W as described in the
Abstract section of this document. There
are no changes to the information
collected on Form I–94, or the I–94 Web
site.
Type of Review: Extension (with
change).
Affected Public: Individuals, Carriers,
and the Travel and Tourism Industry.
Form I–94 (Arrival and Departure
Record)
Estimated Number of Respondents:
4,387,550.
Estimated Time per Response: 8
minutes.
Estimated Burden Hours: 583,544.
Estimated Annual Cost to Public:
$26,325,300.
I–94 Web Site
Estimated Number of Respondents:
3,858,782.
Estimated Time per Response: 4
minutes.
Estimated Annual Burden Hours:
254,679.
Form I–94W (Nonimmigrant Visa
Waiver Arrival/Departure)

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Electronic System for Travel
Authorization (ESTA)
Estimated Number of Respondents:
23,010,000.
Estimated Time per Response: 20
minutes.
Estimated Total Annual Burden
Hours: 7,662,330.
Estimated Annual Cost to the Public:
$265,020,000.
Dated: April 13, 2015,
Tracey Denning,
Agency Clearance Officer, U.S. Customs and
Border Protection.
BILLING CODE 9111–14–P

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Bureau of Land Management
[LLNM006200 L99110000.EK0000 XXX
L4053RV]

Revision of Approved Information
Collection; OMB Control No. 1004–
0179
Bureau of Land Management,
Interior.
ACTION: 60-Day notice and request for
comments.
AGENCY:

In compliance with the
Paperwork Reduction Act, the Bureau of
Land Management (BLM) invites public
comment, and announces that it intends
to request that the Office of Management
and Budget (OMB) renew and revise
control number 1004–0179, ‘‘Helium
Contracts.’’ This request is prompted by
the need to update the control number
in response to legislation.
DATES: Please submit comments on the
proposed information collection by June
15, 2015.
ADDRESSES: Comments may be
submitted by mail, fax, or electronic
mail.
Mail: U.S. Department of the Interior,
Bureau of Land Management, 1849 C
Street NW., Room 2134LM, Attention:
Jean Sonneman, Washington, DC 20240.
Fax: to Jean Sonneman at 202–245–
0050.
Electronic mail: [email protected].
Please indicate ‘‘Attn: 1004–0179’’
regardless of the form of your
comments.
SUMMARY:

FOR FURTHER INFORMATION CONTACT:

Estimated Number of Respondents:
941,291.
Estimated Time per Response: 13
minutes.
Estimated Annual Burden Hours:
204,260.
Estimated Annual Cost to the Public:
$5,647,746.

[FR Doc. 2015–08768 Filed 4–15–15; 8:45 am]

DEPARTMENT OF THE INTERIOR

Robert Jolley, at 806–356–1002. Persons
who use a telecommunication device for
the deaf may call the Federal
Information Relay Service (FIRS) at 1–
800–877–8339, to leave a message for
Mr. Jolley. The FIRS is available 24
hours a day, 7 days a week. You will
receive a reply during normal business
hours.
SUPPLEMENTARY INFORMATION: OMB
regulations at 5 CFR part 1320, which
implement provisions of the Paperwork
Reduction Act, 44 U.S.C. 3501–3521,
require that interested members of the
public and affected agencies be given an
opportunity to comment on information
collection and recordkeeping activities
(see 5 CFR 1320.8 (d) and 1320.12(a)).
This notice identifies an information
collection that the BLM plans to submit
to OMB for approval. The Paperwork
Reduction Act provides that an agency
may not conduct or sponsor a collection
of information unless it displays a
currently valid OMB control number.
Until OMB approves a collection of

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20505

information, you are not obligated to
respond.
The BLM will request a 3-year term of
approval for this information collection
activity. Comments are invited on: (1)
The need for the collection of
information for the performance of the
functions of the agency; (2) the accuracy
of the agency’s burden estimates; (3)
ways to enhance the quality, utility and
clarity of the information collection; and
(4) ways to minimize the information
collection burden on respondents, such
as use of automated means of collection
of the information. A summary of the
public comments will accompany our
submission of the information collection
requests to OMB.
Before including your address, phone
number, email address, or other
personal identifying information in your
comment, you should be aware that
your entire comment—including your
personal identifying information—may
be made publicly available at any time.
While you can ask us in your comment
to withhold your personal identifying
information from public review, we
cannot guarantee that we will be able to
do so.
The following information pertains to
this request:
Title: Helium Contracts (43 CFR part
3195).
OMB Control Number: 1004–0179.
Summary: At present, control number
1004–0179 (expiration date: April 30,
2017) enables the BLM to monitor
purchases and sales of helium from the
Federal Helium Reserve. This
information collection activity is in
accordance with the BLM’s authority to
implement in-kind sales of helium in
accordance with 43 CFR part 3195. The
BLM intends to seek OMB clearance to
revise and extend this ongoing
collection of information for another 3
years. The requested revision will be the
addition of a new form (‘‘Refined
Helium Deliveries Detail’’) that will
replace the existing non-form activity
titled ‘‘Sales Reports.’’
In addition, the BLM intends to seek
OMB clearance to add information
collection activities that are necessary
for the implementation of the Helium
Stewardship Act of 2013 (Act or 2013
Act), Public Law 113–40 (127 Stat. 534,
codified at 50 U.S.C. 167–167q). Section
5(b)(8) of the 2013 Act amends 50 U.S.C.
167d, and establishes the following
additional terms and conditions of
Federal helium sales that necessitate
new information collection activities:
• Parties to a helium storage contract
with the BLM must disclose:
(1) The volumes and associated prices
in dollars per thousand cubic feet (Mcf)
in purchase and sales transactions in the

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