[Federal Register Volume 78, Number 138 (Thursday, July 18, 2013)]
[Notices]
[Pages 42947-42948]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-17220]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: HHS-EGOV-16926-30D]


Agency Information Collection Activities; Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Electronic Government Office, HHS.

ACTION: Notice.

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SUMMARY: In compliance with section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Electronic Government Office (EGOV), 
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 reinstatement 
of a previously-approved information collection assigned OMB control 
number 4040-0003, which expired on November 30, 2011. The ICR also 
requests categorizing the form as a common form, meaning HHS will only 
request approval for its own use of the form rather than aggregating 
the burden estimate across all Federal Agencies as was done for 
previous actions on this OMB control number. 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 August 19, 
2013.

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 OMB control number 4040-0003 and 
document identifier HHS-EGOV-16926-30D for reference.
    Information Collection Request Title: SF-424 Application for 
Federal Assistance Short Form.
    OMB No.: 4040-0003.
    Abstract: The SF-424 Application for Federal Assistance Short Form 
is a common form used by Federal grant-

[[Page 42948]]

making agencies for applicants to apply for Federal financial 
assistance.
    Need and Proposed Use of the Information: The SF-424 Application 
for Federal Assistance Short Form is used by the public to apply for 
Federal financial assistance in the form of grants. These forms are 
submitted to the Federal grant-making agencies for evaluation and 
review.
    Likely Respondents: Organizations and institutions seeking grants.
    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 ICR are summarized in the table below.
    HHS estimates that the SF-424 Application for Federal Assistance 
Short Form will take 1 hour to complete.
    Once OMB approves the use of this common form, federal agencies may 
request OMB approval to use this common form without having to publish 
notices and request public comments for 60 and 30 days. Each agency 
must account for the burden associated with their use of the common 
form.

                                    Total Estimated Annualized Burden--Hours
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                                                                     Number of    Average burden
                    Form name                        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)         hours
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SF-424 Application for Federal Assistance.......               1               1               1               1
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    Total.......................................               1  ..............  ..............               1
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Keith A. Tucker,
Information Collection Clearance Officer.
[FR Doc. 2013-17220 Filed 7-17-13; 8:45 am]
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