84 FR 139 pgs. 34904-34905 - Agency Information Collection Request. 30-Day Public Comment Request
Type: NOTICEVolume: 84Number: 139Pages: 34904 - 34905
Pages: 34904, 34905Docket number: [Document Identifier: OS-4040-0005]
FR document: [FR Doc. 2019-15389 Filed 7-18-19; 8:45 am]
Agency: Health and Human Services Department
Official PDF Version: PDF Version
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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.
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 OIRA_submission@omb.eop.gov or via facsimile to (202) 395-5806.
FOR FURTHER INFORMATION CONTACT:
Ed Calimag, ed.calimag@hhs.gov 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.
| Forms | Number of respondents | Number of responses per respondent | Average burden hours per response | Total burden hours |
|---|---|---|---|---|
| Application for Federal Assistance-Individual | 0 | 1 | 1 | 0 |
| Total | 0 | 0 |
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Office of the Secretary, Paperwork Reduction Act Reports Clearance Officer.
[FR Doc. 2019-15389 Filed 7-18-19; 8:45 am]
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