Information Collection

HHS burden for SF-424B Assurances -- Non-construction Programs

IC 189739 under ICR 201008-4040-003 · OMB 4040-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
InstructionsSF424B_2010.pdf	Instruction
4040-0007 SF-424 B SF424B_2010Rev.doc	Form

IC Title:

HHS burden for SF-424B Assurances -- Non-construction Programs

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 215 2 CFR 220 2 CFR 225 2 CFR 230 5 CFR 1320.5(d)(s)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			InstructionsSF424B_2010.pdf		No	No	Printable Only
Form	4040-0007	SF-424 B	SF424B_2010Rev.doc		No	No	Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,561

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	8,561	-1,455	9,038	978
Annual IC Time Burden (Hours)	5,565	-1,190	6,510	245
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.