[Federal Register Volume 81, Number 32 (Thursday, February 18, 2016)]
[Notices]
[Pages 8208-8209]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-03249]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier OS-4040-0005 60D]


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 a 3-year 
extension for OMB Control Number 4040-0005. The ICR will expire on July 
31, 2016. 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 April 18, 
2016.

[[Page 8209]]


ADDRESSES: Submit your comments to [email protected] or (202) 690-
7569.

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 4040-0005. Form is 
available http://www.grants.gov or upon request.
    Information Collection Request Title: SF-424 Application for 
Federal Assistance--Individual.
    OMB No.: 4040-0005.
    Abstract: The SF-424 Application for Federal Assistance--Individual 
is a common form used by Federal grant-making agencies for individual 
applicants without DUNS numbers to apply for Federal financial 
assistance.
    Need and Proposed Use of the Information: The SF-424 Application 
for Federal Assistance--The Individual common form is used by 
individuals not associated with organizations 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 does not use the form; however, HHS estimates that the SF-424 
Application for Federal Assistance--Individual's 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.
    EGOV 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.

                                     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--                    0               1               1               0
 Individual.....................................
                                                 ---------------------------------------------------------------
    Total.......................................               0  ..............  ..............               0
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Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2016-03249 Filed 2-17-16; 8:45 am]
BILLING CODE 4150-57-P