[Federal Register Volume 84, Number 139 (Friday, July 19, 2019)] [Notices] [Pages 34904-34905] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2019-15389] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier: OS-4040-0005] Agency Information Collection Request. 30-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 August 19, 2019. ADDRESSES: Submit your comments to [email protected] or via facsimile to (202) 395-5806. FOR FURTHER INFORMATION CONTACT: Ed Calimag, [email protected] or (202) 690-7569. When submitting comments or requesting information, please include the document identifier 4040-0005-30D and project title for reference. 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 Collections: Application for Federal Assistance-- Individual. Type of Collection: Extension. 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 the 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. The IC expires on 10/31/2019. We are seeking an extension of this information collection and a three-year clearance. Estimated Annualized Burden Table ---------------------------------------------------------------------------------------------------------------- Number of Average Forms Number of responses per burden hours Total burden respondents respondent per response hours ---------------------------------------------------------------------------------------------------------------- Application for Federal Assistance--Individual.. 0 1 1 0 --------------------------------------------------------------- Total....................................... 0 .............. .............. 0 ---------------------------------------------------------------------------------------------------------------- [[Page 34905]] Terry Clark, Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer. [FR Doc. 2019-15389 Filed 7-18-19; 8:45 am] BILLING CODE 4151-AE-P