[Federal Register Volume 84, Number 77 (Monday, April 22, 2019)] [Notices] [Page 16678] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2019-07959] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: 4040-0005] Agency Information Collection Request; 60-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 June 21, 2019. ADDRESSES: Submit your comments to [email protected] or by calling (202) 795-7714. FOR FURTHER INFORMATION CONTACT: When submitting comments or requesting information, please include the document identifier 4040-0005-60D and project title for reference to Grants.gov Manager, Ed Calimag, at [email protected] or 202-690-7569. 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 Collection: Application for Federal Assistance-- Individual. Type of Collection: Reinstatement without change. OMB No. 4040-0005. Abstract: The Application for Federal Assistance--Individual form provides the Federal grant-making agencies an alternative to the Standard Form 424 data set and form. Agencies may use Application for Federal Assistance--Individual form for grant programs not required to collect all the data that is required on the SF-424 core data set and form. Type of respondent: The Application for Federal Assistance-- Individual form is used by organizations to apply for Federal financial assistance in the form of grants. This form is submitted to the Federal grant-making agencies for evaluation and review. Annualized Burden Hour Table -------------------------------------------------------------------------------------------------------------------------------------------------------- Number of Average Forms Respondents (if necessary) Number of responses per burden per Total burden respondents respondents response hours -------------------------------------------------------------------------------------------------------------------------------------------------------- Application for Federal Assistance-- Grant applicants......................... 0 1 1 0 Individual. --------------------------------------------------------------- Total.................................... ......................................... 0 1 1 0 -------------------------------------------------------------------------------------------------------------------------------------------------------- Terry Clark, Assistant Information Collection Clearance Officer. [FR Doc. 2019-07959 Filed 4-19-19; 8:45 am] BILLING CODE 4151-AE-P