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Agency Information Collection Request. 60-Day Public Comment Request 

---
identifier: "/us/fr/2019-07958"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Agency Information Collection Request. 60-Day Public Comment Request"
title_number: 0
title_name: "Federal Register"
section_number: "2019-07958"
section_name: "Agency Information Collection Request. 60-Day Public Comment Request"
positive_law: false
currency: "2019-04-22"
last_updated: "2019-04-22"
format_version: "1.1.0"
generator: "[email protected]"
agency: "Health and Human Services Department"
document_number: "2019-07958"
document_type: "notice"
publication_date: "2019-04-22"
agencies:
  - "Health and Human Services Department"
fr_citation: "84 FR 16677"
fr_volume: 84
docket_ids:
  - "Document Identifier: 4040-0004"
comments_close_date: "2019-06-21"
fr_action: "Notice."
---

#  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 June 21, 2019.

**ADDRESSES:**

Submit your comments to *[email protected]* or by calling (202) 795-7714.

**FOR FURTHER INFORMATION CONTACT:**

When submitting comments or requesting information, please include the document identifier 4040-0004-60D and project title for reference to *Grants.gov* Manager, Ed Calimag, at *[email protected]* or 202-690-7569.

**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 Assistance (SF-424).

*Type of Collection:* Reinstatement without change.

*OMB No.* 4040-0004.

*Abstract:* The Application for Federal Assistance (SF-424) form provides the Federal grant-making agencies with a common and standard form for organizations to apply for financial assistance.

*Type of respondent:* Organizations seeking financial assistance. This form is submitted to the Federal grant-making agencies for evaluation and review.

| Form | Respondents | Number of | Number of | Average | Total burden hours |
| --- | --- | --- | --- | --- | --- |
| Application for Federal Assistance (SF-424) | Grant applicants | 20,803 | 1 | 1 | 20,803 |
| Total |  | 20,803 | 1 | 1 | 20,803 |

Terry Clark,

Assistant Information Collection Clearance Officer.