SF-424 Short Organizational (Short)

Forms and Documents

Document Name	Status
Form 4040-0003 DOI SF-424 Short Organizational Burden Estimate Form	Modified
Form 4040-0003 USAID Form	Modified
ARRA_ShortOrg.doc Justification for No Material/Nonsubstantive Change	2009-06-16

IC Document Collections

IC ID	Document Title	Status
35963	DOI SF-424 Short Organizational Burden Estimate Form	Modified
189732	DHS SF-424 Short Organizational Burden Estimate Instruction	New
186778	DOS SF-424 Short Organizational Burden Estimate Instruction	Modified
186777	HHS SF-424 Short Organizational Burden Estimate Instruction	Modified
186776	NEH SF-424 Short Organizational Burden Estimate Instruction	Modified
186775	NEA SF-424 Short Organizational Burden Estimate Instruction	Modified
179796	NEH Instruction	Modified
179795	USAID Form	Modified
179794	NEH Instruction	Modified
179793	NARA NHPRC Instruction	Modified
179792	IMLS Instruction	Modified

ICR Details

OMB Control No: 4040-0003	ICR Reference No: 200906-4040-003
Status: Historical Active	Previous ICR Reference No: 200809-4040-002
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-424 Short Organizational (Short)
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: 06/30/2009
	Date Received in OIRA: 06/26/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	11/30/2011	11/30/2011
Responses	22,728	0	19,705
Time Burden (Hours)	9,280	0	8,272
Cost Burden (Dollars)	0	0	0

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Abstract: The SF-424 Short Organizational (short) form supports the streamlined application requirements of smaller applicant organizations and reduces the administrative burden on this community.

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Authorizing Statute(s): US Code: 31 USC 6301-6308 Name of Law: null
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 36326	06/26/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 56827	09/30/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
DOS SF-424 Short Organizational Burden Estimate	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
IMLS	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
NARA NHPRC	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
NEH	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
USAID	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
NEH	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
DHS SF-424 Short Organizational Burden Estimate	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
DOI SF-424 Short Organizational Burden Estimate	4040-0003, 4040-0003, 4040-0003	SF-424 Key Contacts ,   SF-424 Short organizational ,   SF-424 Project Abstract
NEA SF-424 Short Organizational Burden Estimate	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
NEH SF-424 Short Organizational Burden Estimate	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts
HHS SF-424 Short Organizational Burden Estimate	4040-0003, 4040-0003, 4040-0003	SF-424 Short organizational ,   SF-424 Project Abstract ,   SF-424 Key Contacts

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	22,728	19,705	0	3,023	0	0
Annual Time Burden (Hours)	9,280	8,272	0	1,008	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The burden estimate for 4040-0003 is changed to reflect the estimated increase in submissions due to the American Recovery and Reinvestment Act of 2009. Agencies that submitted revised burden estimates - NEA, DHS

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Annual Cost to Federal Government: $107,318

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/26/2009

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