[Federal Register Volume 86, Number 99 (Tuesday, May 25, 2021)]
[Notices]
[Pages 28153-28154]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-10966]


-----------------------------------------------------------------------

DEPARTMENT OF JUSTICE

[OMB Number 1105-0008]


Agency Information Collection Activities; Proposed eCollection 
eComments Requested; Extension of a Currently Approved Collection; 
Claim for Damage, Injury, or Death

AGENCY: Civil Division, Department of Justice.

ACTION: 60-Day notice.

-----------------------------------------------------------------------

SUMMARY: The Civil Division, Department of Justice (DOJ), will be 
submitting the following information collection request to the Office 
of Management and Budget (OMB) for review and approval in accordance 
with the Paperwork Reduction Act of 1995.

DATES: Comments are encouraged and will be accepted for 60 days until 
July 26, 2021.

FOR FURTHER INFORMATION CONTACT: Comments are encouraged and all 
comments should reference the 8 digit OMB number for the collection or 
the title of the collection. If you have questions concerning the 
collection, please contact James G. Touhey, Jr., Director, Torts 
Branch, Civil Division, U.S. Department of Justice, P.O. Box 888, 
Benjamin Franklin Station, Washington, DC 20044, Telephone: (202) 616-
4400.
    Written comments and/or suggestions can also be directed to the 
Office of Management and Budget, Office of Information and Regulatory 
Affairs, Attention Department of Justice Desk Officer, Room 10235, 725 
17th Street NW, Washington, DC 20503 or sent to 
[email protected].

SUPPLEMENTARY INFORMATION: Written comments and suggestions from the 
public and affected agencies concerning the proposed collection of 
information are encouraged. Your comments should address one or more of 
the following four points:

--Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility;
--Evaluate the accuracy of the agency's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used;
--Enhance the quality, utility, and clarity of the information to be 
collected; and
--Minimize the burden of the collection of information on those who are 
to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submission of responses.

Overview of This Information Collection

    1. Type of Information Collection: Extension of a currently 
approved collection.
    2. The Title of the Form/Collection: Claim for Damage, Injury, or 
Death.
    3. The agency form number, if any, and the applicable component of 
the

[[Page 28154]]

Department sponsoring the collection: The form number is CIV SF 95. The 
applicable component within the Department of Justice is the Civil 
Division.
    4. Affected public who will be asked or required to respond, as 
well as a brief abstract: Primary: Individuals or households. Other: 
Businesses or other for-profit, Non-for-profit institutions, and State, 
Local, or Tribal Governments. Abstract: This form is used by those 
persons making a claim against the United States Government under the 
Federal Tort Claims Act.
    5. An estimate of the total number of respondents and the amount of 
time estimated for an average respondent to respond: It is estimated 
that there will be 100,000 respondents who will each require 6 hours to 
respond.
    6. An estimate of the total public burden (in hours) associated 
with the collection: The total estimated annual burden hours to 
complete the certification form is 600,000 hours.
    If additional information is required contact: Melody Braswell, 
Department Clearance Officer, United States Department of Justice, 
Justice Management Division, Policy and Planning Staff, Two 
Constitution Square, 145 N Street NE, 3E.405A, Washington, DC 20530.

    Dated: May 19, 2021.
Melody Braswell,
Department Clearance Officer for PRA, U.S. Department of Justice.
[FR Doc. 2021-10966 Filed 5-24-21; 8:45 am]
BILLING CODE 4410-12-P