# 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 24, 2022
**ADDRESSES:**
Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to *www.reginfo.gov/public/do/PRAMain.* Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using the search function.
**FOR FURTHER INFORMATION CONTACT:**
Sagal Musa, *[email protected]* or (202) 205-2634. 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:* Renewal.
*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. The IC expires on December 31, 2022. *Grants.gov* seeks a three-year clearance of these collections.
| Forms | Respondents | Number of | Number of | Average | Total burden |
| --- | --- | --- | --- | --- | --- |
| Application for Federal Assistance (SF-424) | Grant Applicants | 20,803 | 1 | 1 | 20,803 |
| Total | | 20,803 | 1 | 1 | 20,803 |
Sherrette A. Funn,
Paperwork Reduction Act Reports Clearance Officer, Office of the Secretary.