Memo to OMB OS Desk Officer

_{D EPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary}

Washington, D.C. 20201

MEMORANDUM

TO: Office of Information and Regulatory Affairs

OS PRA Desk Officer

FROM: Seleda M. Perryman

HHS PRA Clearance Officer

SUBJECT: 0990-0317 - HHS Supplemental Form to the SF-424 (HHS 5161-1) – REVISION

DATE: August 30, 2010

HHS is renewing OMB No. 0990-0317, which includes the HHS 5161-1 form and three supplemental documents. We realize that the HHS 5161-1 form used in this request contains older versions of three forms. Upon approval for the continued use of this form HHS will use the most recently approved versions of 4040-0004, 0980-0204, and 0348-0046 in the final document provided to the public.

Please feel free to contact me if you have any additional questions, comments, or concerns. I can be reached at Seleda.Perryman@hhs.gov or (202) 690-5521.