# 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 June 19, 2019.
**ADDRESSES:**
Submit your comments to *[email protected]* or via facsimile to (202) 395-5806.
**FOR FURTHER INFORMATION CONTACT:**
Ed Calimag, *[email protected]* or (202) 690-7569. When submitting comments or requesting information, please include the document identifier 4040-0002-30D 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:* The SF-424 Mandatory Form.
*Type of Collection:* Reinstatement without change.
*OMB No.:* 4040-0002.
*Abstract:* The SF-424 Mandatory Form provides the Federal grant-making agencies an alternative to the Standard Form 424 data set and form. Agencies may use the SF-424 Mandatory 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 expired on January 31, 2019. We are seeking reinstatement of this information collection and a three-year clearance.
| Forms | Number of | Number of | Average | Total burden |
| --- | --- | --- | --- | --- |
| SF-424 Mandatory | 5,761 | 1 | 1 | 5,761 |
| Total | 5,761 | | | 5,761 |
Terry Clark,
Paperwork Reduction Act Reports Clearance Officer,bOffice of the Secretary.