2019-15387. Agency Information Collection Request. 30-Day Public Comment Request

AGENCY:

Office of the Secretary, HHS.

ACTION:

Notice.

SUMMARY:

In compliance with the requirement of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is publishing the following summary of a proposed collection for public comment.

DATES:

Comments on the ICR must be received on or before August 19, 2019.

ADDRESSES:

Submit your comments to [e-mail] or via facsimile to [phone].

FOR FURTHER INFORMATION CONTACT:

Ed Calimag, [e-mail] or [phone]. When submitting comments or requesting information, please include the document identifier 4040-0004-30D and project title for reference.

SUPPLEMENTARY INFORMATION:

Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (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.

Title of the Collections: Application for Federal Assistance (SF-424).

Type of Collection: Extension.

OMB No. 4040-0004.

Abstract: The Application for Federal Assistance (SF-424) form provides the Federal grant-making agencies with a common and standard form for organizations to apply for financial assistance. The IC expires 10/31/2019. We are seeking an extension of this information collection and a three-year clearance.

Estimated Annualized Burden Table

Forms	Number of respondents	Number of responses per respondent	Average burden hours per response	Total burden hours
Application for Federal Assistance (SF-424)	20,803	1	1	20,803
Total	20,803	1	1	20,803

Terry Clark,

Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer.