[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]


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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.

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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
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                                                                                                             Number of        Average
                    Forms                              Respondents (if necessary)            Number of    responses  per    burden per     Total burden
                                                                                            respondents     respondents      response          hours
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Application for Federal Assistance--           Grant applicants.........................               0               1               1               0
 Individual.
                                                                                         ---------------------------------------------------------------
    Total....................................  .........................................               0               1               1               0
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Terry Clark,
Assistant Information Collection Clearance Officer.
[FR Doc. 2019-07959 Filed 4-19-19; 8:45 am]
 BILLING CODE 4151-AE-P