Notice2025-17916

Agency Information Collection Request. 30-Day Public Comment Request

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
September 17, 2025

Issuing agencies

Health and Human Services Department

Abstract

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.

Full Text

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<title>Federal Register, Volume 90 Issue 178 (Wednesday, September 17, 2025)</title>
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[Federal Register Volume 90, Number 178 (Wednesday, September 17, 2025)]
[Notices]
[Pages 44832-44833]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-17916]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Document Identifier: OS-4040-0005]


Agency Information Collection Request. 30-Day Public Comment 
Request

AGENCY: Office of the Secretary, HHS

ACTION: Notice.

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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 17, 
2025.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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, <a href="/cdn-cgi/l/email-protection#bfccded8ded391d2caccdeffd7d7cc91d8d0c9"><span class="__cf_email__" data-cfemail="b6c5d7d1d7da98dbc3c5d7f6dedec598d1d9c0">[email&#160;protected]</span></a> or call 
202-578-5441. When submitting comments or requesting information, 
please include the document identifier 4040-0005-30D 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 Domestic 
Assistance--Individual.
    Type of Collection: Extension.
    OMB No.: 4040-0005.
    Abstract: The Application for Federal Assistance--Individual form 
provides the Federal grant-making agencies an alternative to the 
Standard Form 424 data set and form. Agencies may use Application for 
Federal Assistance--Individual form for grant programs not required to 
collect all the data that is required on the SF-424 core data set and 
form. <a href="http://Grants.gov">Grants.gov</a> seeks a three-year clearance of these collections.
    Type of respondent: The Application for Federal Assistance--
Individual form is used by organizations to apply for Federal financial 
assistance in the form of grants. This form is submitted to the Federal 
grant-making agencies for

[[Page 44833]]

evaluation and review on an annual basis. This IC expires on February 
28, 2026.

                                          Annualized Burden Hour Table
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
     Forms (if necessary)        Respondents (if     Number of     responses per   per response    Total burden
                                   necessary)       respondents     respondents     (in hours)         hours
----------------------------------------------------------------------------------------------------------------
Application for Federal         Grant Applicants           5,403               1               1           5,403
 Assistance-Individual.
                                                 ---------------------------------------------------------------
    Total.....................  ................           5.403               1               1           5,403
----------------------------------------------------------------------------------------------------------------


Catherine Howard,
Paperwork Reduction Act Reports Clearance Officer, Department of Health 
and Human Services, Office of the Secretary.
[FR Doc. 2025-17916 Filed 9-16-25; 8:45 am]
BILLING CODE 4151-AE-P


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Indexed from Federal Register on September 17, 2025.

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