87 FR 195 pg. 61341 - Agency Information Collection Request; 60-Day Public Comment Request

Type: NOTICEVolume: 87Number: 195Page: 61341
Docket number: [Document Identifier: OS-4040-0005]
FR document: [FR Doc. 2022-22060 Filed 10-7-22; 8:45 am]
Agency: Health and Human Services Department
Official PDF Version:  PDF Version
Page: 61341

[top] page 61341

DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-4040-0005]

Agency Information Collection Request; 60-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 December 12, 2022.

ADDRESSES:

Submit your comments to sagal.musa@hhs.gov or by calling (202) 205-2634.

FOR FURTHER INFORMATION CONTACT:

When submitting comments or requesting information, please include the document identifier 4040-0005-60D and project title for reference, to Sagal Musa, email: sagal.musa@hhs.gov, 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-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.

Forms (If necessary) Respondents (If necessary) Number of respondents Number of responses per respondents Average burden per response Total burden hours
Application for Federal Assistance-Individual Grant Applicants 100 1 1 100
Total 100 1 1 100

Sherrette A. Funn,

Paperwork Reduction Act Reports Clearance Officer, Office of the Secretary.

[FR Doc. 2022-22060 Filed 10-7-22; 8:45 am]

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