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Agency Information Collection Activities; Submission to OMB for Review and Approval; Public Comment Request

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Electronic Government Office, HHS.



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In compliance with section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Electronic Government Office (EGOV), Department of Health and Human Services, has submitted an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB) for review and approval. The ICR is for reinstatement of a previously-approved information collection assigned OMB control number 4040-0010, which expired on August 31, 2011. 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. The SF-424 Project Abstract form and the SF-424 Key Contacts form were previously assigned to OMB control number 4040-0003. EGOV seeks to move these two instruments to the OMB control number 4040-0010. 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.


Comments on the ICR must be received on or before August 19, 2013.


Submit your comments to or via facsimile to (202) 395-5806.

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Information Collection Clearance staff, or (202) 690-6162.

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When submitting comments or requesting information, please include the OMB control number 4040-0010 and document identifier HHS-EGOV-15380-30D for reference.

Information Collection Request Title: SF-424 Project/Performance Site Location(s) Form.

OMB No.: 4040-0010.

Abstract: This reinstatement request covers the following forms: The SF-424 Project/Performance Site Location(s) form, Project Abstract Form, and Key Contacts form. These forms are common forms used by all Federal grant-making agencies for applicants to apply for Federal financial assistance.

Need and Proposed Use of the Information: The SF-424 Project/Performance Site Location(s) form, Project Abstract Form, and Key Contacts form are used by the public to apply for Federal financial assistance in the form of grants. These forms are submitted to the Federal grant-making agencies for evaluation and review.

Likely Respondents: Organizations and institutions seeking grants.

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 Project Performance Site Location(s) form, The SF-424 Project Abstract, and the SF-424 Key Contacts form will take each take 0.5 hours to complete. We expect that a total of 137,818 respondents will use these forms. 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

Form nameNumber of respondentsNumber of responses per respondentAverage burden per response (in hours)Total burden hours
SF-424 Project Abstract Form34910.5174.5
SF-424 Key Contacts6110.530.5
SF-424 Performance/Site Location137,40810.568,704
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Keith A. Tucker,

Information Collection Clearance Officer.

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[FR Doc. 2013-17219 Filed 7-17-13; 8:45 am]