[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]


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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.

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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 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
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                                                                     Number of        Average
                      Forms                          Number of     responses per   burden hours    Total  burden
                                                    respondents     respondent     per response        hours
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Application for Federal Assistance--Individual..               0               1               1               0
                                                 ---------------------------------------------------------------
    Total.......................................               0  ..............  ..............               0
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[[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