[Federal Register Volume 69, Number 109 (Monday, June 7, 2004)]
[Notices]
[Pages 31823-31824]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-12803]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: OS-0990-0236]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Office of the Secretary; HHS.
    In compliance with the requirement of section 3506(c)(2)(A) 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

[[Page 31824]]

proposed collections for public comment. 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.
    #1 Type of Information Collection Request: Extension of a currently 
approved collection;
    Title of Information Collection: Financial Summary of Obligation 
and Expenditure of Block Grant Funds (45 CFR 96.30) and SF 269A;
    Form/OMB No.: OS-0990-0236;
    Use: This collection is needed to allow HHS to verify the financial 
status of block grant funds and determine aggregate obligations, 
expenditures and available balances in order to close out the grant 
account in accordance with Public Law 101-51.
    Frequency: Annually.
    Affected Public: State, local or tribal government.
    Annual Number of Respondents: 620.
    Total Annual Responses: 620.
    Average Burden Per Response: 1 hour.
    Total Annual Hours: 620.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access the HHS 
Web site address at http://www.hhs.gov/oirm/infocollect/pending/ or e-
mail your request, including your address, phone number, OMB number, 
and OS document identifier, to [email protected], or call the Reports 
Clearance Office on (202) 690-6162. Written comments and 
recommendations for the proposed information collections must be mailed 
within 30 days of this notice directly to the OMB Desk Officer at the 
address below: OMB Desk Officer: John Kraemer, OMB Human Resources and 
Housing Branch, Attention: (OMB 0990-0236), New Executive 
Office Building, Room 10235, Washington DC 20503.

    Dated: May 26, 2004.
Robert E. Polson,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. 04-12803 Filed 6-4-04; 8:45 am]
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