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Agency Information Collection Request. 30-Day Public Comment Request

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Office of the Secretary, HHS.




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.


Comments on the ICR must be received on or before June 19, 2019.


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

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Ed Calimag, or (202) 690-7569. When submitting comments or requesting information, please include the document identifier 4040-0002-30D and project title for reference.

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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 Start Printed Page 22865collection 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.

Estimated Annualized Burden Table

FormsNumber of respondentsNumber of responses per respondentAverage burden hours per responseTotal burden hours
SF-424 Mandatory5,761115,761
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Terry Clark,

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

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[FR Doc. 2019-10416 Filed 5-17-19; 8:45 am]