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.
PL:
Pub.L. 106 - 107 468 Name of Law: Federal Financial Assistance
Management Improvement Act of 1999
PL:
Pub.L. 109 - 282 2590 Name of Law: Federal Funding
Accountability and Transparency Act of 2006
This is a request for
reinstatement of a previously-approved collection, which expired on
March 31, 2012, with a three-year clearance. This request also
changes the information collection to a common forms host, so the
burden estimate only reflects the burden of the host agency,
HHS.
$736,637
No
No
Yes
No
Yes
Uncollected
Ed Calimag 202 690-7569
Ed.Calimag@hhs.gov
Yes
OIRA authorizes any Agency to begin using a Common
Form associated with this ICR automatically after 5 calendar days
from the date the agency's RCF including the common form was
received in OIRA.
This is a request to change this information
collection to a host for Common Forms. As a result, it only
reflects the burden for the host agency, HHS.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form 4040-NEW DHS Burden Estimate for SF-424 Silte Location Form
4040-0010 Supporting Statement 2013.doc
DHS Burden Estimate for SF-424 Silte Location Form