[Federal Register Volume 86, Number 189 (Monday, October 4, 2021)]
[Notices]
[Pages 54695-54696]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-21560]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-4040-0014]


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 December 3, 
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 4040-0014-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: Federal Financial Report (SF-425) and 
Federal Financial Report Attachment (SF-425A).
    Type of Collection: Renewal.
    OMB No. 4040-0014.

Abstract

    Abstract: Federal Financial Report (SF-425) and Federal Financial 
Report Attachment (SF-425A) are used by applicants to apply for Federal 
financial assistance. The Federal Financial Report (SF-425) and Federal 
Financial Report Attachment (SF-425A) forms allow the applicants to 
provide certain financial information as part of their grant proposals. 
These forms are 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 Federal Financial Report (SF-425) and 
Federal Financial Report Attachment (SF-425A) forms are 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 54696]]



                                          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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Federal Financial Report (SF-  Grant-seeking     100,000........               1               1         100,000
 425) and Federal Financial     organizations.
 Report Attachment (SF-425A).
                               Grant-seeking     100,000........               1               1         100,000
                                organizations.
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    Total....................  ................  ...............               1  ..............         200,000
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Sherrette A. Funn,
Paperwork Reduction Act Reports Clearance Officer, Office of the 
Secretary.
[FR Doc. 2021-21560 Filed 10-1-21; 8:45 am]
BILLING CODE 4151-AE-P