[Federal Register Volume 86, Number 184 (Monday, September 27, 2021)]
[Notices]
[Pages 53332-53333]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-20831]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-4040-0003]


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 November 26, 
2021.

ADDRESSES: Submit your comments to [email protected] or by calling 
(202) 205-2634.

FOR FURTHER INFORMATION CONTACT: When submitting comments or requesting 
information, please include the document identifier 4040-0003-New-60D 
and project title for reference, to Sagal Musa, email: 
[email protected], or call (202) 205-2634 the Reports Clearance 
Officer.

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 Domestic 
Assistance-Short Organizational.
    Type of Collection: Renewal.
    OMB No.: 4040-0003.
    Abstract: Application for Federal Domestic Assistance-Short 
Organizational is used by applicants to apply for Federal financial 
assistance. The Application for Federal Domestic Assistance-Short 
Organizational allows the applicants to provide organizational details 
as part of their grant proposals. This form is evaluated by Federal 
agencies as part of the overall grant application. This IC expires on 
February 28, 2022. Grants.gov seeks a three-year clearance of these 
collections.
    Type of Respondent: The Application for Federal Domestic 
Assistance-Short Organizational form is used by organizations to apply 
for Federal financial assistance in the form of grants. These forms are 
submitted to the Federal grant-making agencies for evaluation and 
review.

[[Page 53333]]



                                          Annualized Burden Hour Table
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                                                                     Number of
     Forms (if necessary)        Respondents (if     Number of     responses per  Average burden   Total burden
                                   necessary)       respondents     respondents    per response        hours
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Application for Federal         Grant-seeking                936               1               1             936
 Domestic Assistance-Short       organizations.
 Organizational.
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............               1  ..............             936
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Sherrette A. Funn,
Paperwork Reduction Act Reports Clearance Officer, Office of the 
Secretary.
[FR Doc. 2021-20831 Filed 9-24-21; 8:45 am]
BILLING CODE 4151-AE-P