[Federal Register Volume 87, Number 242 (Monday, December 19, 2022)]
[Notices]
[Pages 77620-77621]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-27463]


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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 January 18, 
2023.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: Sagal Musa, [email protected] or 
(202) 205-2634. 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 Domestic 
Assistance--Individual.
    Type of Collection: Renewal.
    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 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.
    Type of respondent: The Application for Federal Assistance--
Individual form is used by organizations to apply for Federal financial 
assistance in the form of grants. This form is submitted to the Federal 
grant-making agencies for evaluation and review. This IC expires on 
January 31, 2023. Grants.gov seeks a three-year clearance of these 
collections.

[[Page 77621]]



                                          Annualized Burden Hour Table
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                                                                     Number of        Average
     Forms  (if necessary)      Respondents  (if     Number of     responses per    burden per     Total burden
                                   necessary)       respondents     respondents      response          hours
----------------------------------------------------------------------------------------------------------------
Application for Federal         Grant Applicants             100               1               1             100
 Assistance--Individual.
                                                 ---------------------------------------------------------------
    Total.....................                               100               1               1             100
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Sherrette A. Funn,
Paperwork Reduction Act Reports Clearance Officer, Office of the 
Secretary.
[FR Doc. 2022-27463 Filed 12-16-22; 8:45 am]
BILLING CODE 4151-AE-P