# 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 October 4, 2018.
**ADDRESSES:**
Submit your comments to *[email protected]* or via facsimile to (202) 395-5806.
**FOR FURTHER INFORMATION CONTACT:**
Sherrette Funn, *[email protected]* or (202) 795-7714. When submitting comments or requesting information, please include the document identifier 4040-0014-30D 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:* Federal Financial Report (SF-425) and Federal Financial Report Attachment (SF-425A).
*Type of Collection:* Extension.
*OMB No.:* 4040-0014.
*Abstract:* Federal Financial Report (SF-425) and Federal Financial Report Attachment (SF-425A) are OMB-approved collections (4040-0014). These information collections are used by grant awardees. The ICs expire on January 31, 2019. We are requesting a three-year clearance of these collections.
| Forms | Type of | Number of | Number of | Average | Total |
| --- | --- | --- | --- | --- | --- |
| Federal Financial Report (SF-425) | Grant Applicant | 100,000 | 1 | 1 | 100,000 |
| Federal Financial Report Attachment (SF-425A) | Grant Applicant | 100,000 | 1 | 1 | 100,000 |
| Total | | 200,000 | | | 200,000 |
Terry Clark,
Office of the Secretary, Asst. Paperwork Reduction Act Reports Clearance Officer.