Information Collection

HHS burden for SF-424D Assurances -- Construction Programs

IC 196702 under ICR 201103-4040-004 · OMB 4040-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0009 can be found here:

Documents and Forms

Document Name Document Type
Form 4040-0009 HHS burden for SF-424D Assurances -- Construction Programs Form
4040-0009 SF-424D SF424D-V1.1.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HHS burden for SF-424D Assurances -- Construction Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4040-0009	SF-424D	SF424D-V1.1.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.