[Federal Register Volume 70, Number 81 (Thursday, April 28, 2005)]
[Notices]
[Pages 22061-22062]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-8472]


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DEPARTMENT OF JUSTICE

Civil Division


Agency Information Collection Activities: Proposed Collection; 
Comments Requested

ACTION: 60-Day notice of information collection under review: Claim for 
Damage, Injury, or Death

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    The Department of Justice (DOJ), Civil Division, has submitted the 
following information collection request to the Office of Management 
and Budget (OMB) for review and approval in accordance with the 
Paperwork Reduction Act of 1995. The proposed information collection is 
published to obtain comments from the public and affected agencies. 
Comments are encouraged and will be accepted for ``sixty days'' until 
June 27, 2005. This process is conducted in accordance with 5 CFR 
1320.10.
    If you have comments especially on the estimated public burden or 
associated response time, suggestions, or need a copy of the proposed 
information collection instrument with instructions or additional 
information, please contact Director, Torts Branch, Civil Division, 
U.S. Department of Justice, Washington, DC 20530.
    Written comments and suggestions from the public and affected 
agencies concerning the proposed collection of information are 
encouraged. Your comments should address one or more of the following 
four points:

--Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility;
--Evaluate the accuracy of the agencies estimate of the burden of the 
proposed collection of information,

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including the validity of the methodology and assumptions used;
--Enhance the quality, utility, and clarity of the information to be 
collected; and
--Minimize the burden of the collection of information on those who are 
to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submission of responses.
    Overview of this information collection:
    (1) Type of Information Collection: Extension of a currently 
approved collection.
    (2) Title of the Form/Collection: Claim for Damage, Injury, or 
Death.
    (3) Agency form number, if any, and the applicable component of the 
Department sponsoring the collection: Form Number: CIV SF 95. Civil 
Division, U.S. Department of Justice.
    (4) Affected public who will be asked or required to respond, as 
well as a brief abstract: Primary: Individuals or households. Other: 
Business or other for-profit, Not-for-profit institutions, and State, 
Local, or Tribal Governments. Abstract: This form is utilized by those 
persons making a claim against the United States Government under the 
Federal Tort Claims Act.
    (5) An estimate of the total number of respondents and the amount 
of time estimated for an average respondent to respond/reply: It is 
estimated that there will be 300,000 respondents who will each require 
6 hours to respond.
    (6) An estimate of the total public burden (in hours) associated 
with the collection: The total estimated annual burden hours to 
complete the certification form is 1,800,000 hours.
    If additional information is required contact: Ms. Brenda E. Dyer, 
Department Clearance Officer, United States Department of Justice, 
Justice Management Division, Policy and Planning Staff, Patrick Henry 
Building, Suite 1600, 601 D Street NW., Washington, DC 20530.

    Dated: April 22, 2005.
Brenda E. Dyer,
Department Clearance Officer, Department of Justice.
[FR Doc. 05-8472 Filed 4-27-05; 8:45 am]
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