Agency Information Collection Request. 30-Day Public Comment Request

---
identifier: "/us/fr/2019-15387"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Agency Information Collection Request. 30-Day Public Comment Request"
title_number: 0
title_name: "Federal Register"
section_number: "2019-15387"
section_name: "Agency Information Collection Request. 30-Day Public Comment Request"
positive_law: false
currency: "2019-07-19"
last_updated: "2019-07-19"
format_version: "1.1.0"
generator: "[email protected]"
agency: "Health and Human Services Department"
document_number: "2019-15387"
document_type: "notice"
publication_date: "2019-07-19"
agencies:
  - "Health and Human Services Department"
fr_citation: "84 FR 34907"
fr_volume: 84
docket_ids:
  - "Document Identifier: OS-4040-0004"
comments_close_date: "2019-08-19"
fr_action: "Notice."
---


#  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 *[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 4040-0004-30D 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 (SF-424).

*Type of Collection:* Extension.

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. The IC expires 10/31/2019. We are seeking an extension of this information collection and a three-year clearance.

| Forms | Number of | Number of | Average | Total |
| --- | --- | --- | --- | --- |
| Application for Federal Assistance (SF-424) | 20,803 | 1 | 1 | 20,803 |
| Total | 20,803 | 1 | 1 | 20,803 |

Terry Clark,

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