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OMB Control No: 0937-0191	ICR Reference No: 202412-0937-002
Status: Active	Previous ICR Reference No: 202408-0937-001
Agency/Subagency: HHS/OASH	Agency Tracking No: 20215
Title: Application Packets for Real Property for Public Health Purposes
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/17/2024
	Date Received in OIRA: 12/13/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2027	12/31/2027	12/31/2027
Responses	10	0	10
Time Burden (Hours)	2,000	0	2,000
Cost Burden (Dollars)	2,500	0	2,500

Abstract: State and local governments and nonprofit institutions use these applications to apply for excess/surplus, underutilized/unutilized and off-site government real property. These applications are used to determine if institutions/organizations are eligible to purchase, lease or use prop. under the provisions of surplus property program.

Authorizing Statute(s): PL: Pub.L. 100 - 77 501 Name of Law: Stewart B. McKinney-Vento Homeless Assistance Act
   PL: Pub.L. 81 - 152 203 Name of Law: The Federal Property and Administrative
   PL: Pub.L. 114 - 287 11 Name of Law: Federal Asset and Transfer Act of 2016
   US Code: 42 USC 4321-4370a Name of Law: The National Evironmental Policy Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 49180	06/11/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 68636	08/27/2024
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application Packets for Real Property for Public Health Purposes

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	10	10
Annual Time Burden (Hours)	2,000	2,000
Annual Cost Burden (Dollars)	2,500	2,500

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has been adjusted to account for the yearly average number of applications submitted by applicants since the last OMB number renewal. The number of the yearly average of applications was adjusted from 15 applications to 10 applications. The U.S. Department of Health and Human Services (HHS), Federal Real Property Assistance Program, has no control over the number, type, location, or condition of Federal surplus real property that becomes available for application/acquisition. HHS also has no control over how many applications are submitted by eligible entities. The number of applications submitted is dependent on the need and interest of the properties that become available by eligible entities. Additionally, the cost burden to applicants increased by $30.00 because the estimated cost to contract for expertise in completing portions of the application increased, again outside of HHS’s control. This holds true for the annualized cost to the Federal government which was adjusted to account for increases in wages.

Annual Cost to Federal Government: $50,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Theresa Ritta 202 823-1348 theresa.ritta@psc.hhs.gov

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