[Federal Register Volume 77, Number 195 (Tuesday, October 9, 2012)]
[Notices]
[Pages 61405-61406]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-24730]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Document Identifier: HHS-EGOV-17342-30D]
Agency Information Collection Activities; Submission to OMB for
Review and Approval; Public Comment Request
ACTION: Notice.
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SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the Electronic Government Office (EGOV),
Department of Health and Human Services, will submit an Information
Collection Request (ICR), described below, to the Office of Management
and Budget (OMB) for review and approval. The ICR is for renewal of the
approved information collection assigned OMB control number 4040-0005,
scheduled to expire on October 31, 2012. The ICR also requests
categorizing the form as a common form, meaning HHS will only request
approval for its own use of the form rather than aggregating the burden
estimate across all Federal Agencies as was done for previous actions
on this OMB control number. Comments submitted during the first public
review of this ICR will be provided to OMB. OMB will accept further
comments from the public on this ICR during the review and approval
period.
Deadline: Comments on the ICR must be received within 30 days of
the issuance of this notice.
ADDRESSES: Submit your comments, including the OMB control number 4040-
0005 and document identifier HHS-EGOV-17342-30D, to [email protected] or via facsimile to (202) 395-5806. Copies of
the supporting statement and any related forms may be requested via
email to [email protected] or by calling (202)
690-6162.
Information Collection Request Title: SF-424 Individual.
Abstract: The SF-424 Individual form is the standard Federal form
for grant applications for individuals. It replaced numerous agency-
specific forms.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose or provide the
information requested. This includes the time needed to review
instructions, to develop, acquire, install and utilize technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information, to train personnel and to be able to respond to
a collection of information, to search data sources, to complete and
review the collection of information, and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
HHS estimates that the SF-424 Individual form will take 1 hour to
complete. We expect that 1 respondent will use this form.
Once OMB approves the use of this common form, federal agencies may
request OMB approval to use this common form without having to publish
notices and request public comments for 60 and 30 days. Each agency
must account for the burden associated with their use of the common
form.
Total Estimated Annualized Burden--Hours
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Average
Number of Number of burden per Total burden
Form name respondents responses per response (in hours
respondent hours)
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SF-424 Individual............................... 1 1 1 1
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Total....................................... .............. .............. .............. ..............
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Keith A. Tucker,
Information Collection Clearance Officer, Department of Health and
Human Services.
[FR Doc. 2012-24730 Filed 10-5-12; 8:45 am]
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