SF-424 Project/Performance Site Location(s) Form

ICR 201307-4040-008

OMB: 4040-0010

Federal Form Document

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Supporting Statement A
2013-07-30
IC Document Collections
IC ID
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Status
189743 Removed
189742 Removed
185714 Removed
185713 Removed
185712 Removed
185711 Removed
185710 Removed
185709 Removed
185708 Removed
185707 Removed
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ICR Details
4040-0010 201307-4040-008
Historical Active 200906-4040-009
EGOV 15380
SF-424 Project/Performance Site Location(s) Form
Reinstatement with change of a previously approved collection   Yes
Regular
Approved without change 09/10/2013
Retrieve Notice of Action (NOA) 07/31/2013
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved
137,818 0 0
68,909 0 0
0 0 0

In compliance with section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Electronic Government Office (EGOV), Department of Health and Human Services, has submitted an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB) for review and approval. The ICR is for reinstatement of a previously-approved information collection assigned OMB control number 4040-0010, which expired on August 31, 2011. The ICR also requests categorizing the form as a common form, meaning HHS will only request approval for its own use of the form rather than aggregating the burden estimate across all Federal Agencies as was done for previous actions on this OMB control number. The SF-424 Project Abstract form and the SF-424 Key Contacts form were previously assigned to OMB control number 4040-0003. EGOV seeks to move these two instruments to the OMB control number 4040-0010. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public on this ICR during the review and approval period.

PL: Pub.L. 106 - 107 468 Name of Law: Federal Financial Assistance Management Improvement Act of 1999
   PL: Pub.L. 109 - 282 2590 Name of Law: Federal Funding Accountability and Transparency Act of 2006
  
None

Not associated with rulemaking

  78 FR 14552 03/06/2013
78 FR 42945 07/18/2013
Yes

1
IC Title Form No. Form Name
DHS Burden Estimate for SF-424 Silte Location Form 4040-NEW SF-424 Site Location
DOE Burden Estimate for SF-424 Silte Location Form 4040-NEW SF-424 Site Location
NSF burden estimate for SF-424 Site Location Form 4040-NEW SF-424 Site Location
VA burden estimate for SF-424 Site Location Form 4040-NEW SF-424 Site Location
USAID burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
IMLS burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
USDA burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
EPA burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
HUD burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
NASA burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
NARA burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
DOD burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
HHS Burden Estimate for 4040-0010 4040-0010, 4040-0010, 4040-0010 Key Contacts ,   Project/Performance Site Location ,   Project Abstract
DOI burden estimate for SF-424 Site Location 4040-NEW SF-424 Site location
SSA burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
NEA burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
DOJ burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
NEH burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
DOT burden estimate for SF-424 Site Location 4040-NEW SF-424 Site Location
ED burden estimate for SF-424 Site Location Form 4040-NEW SF-424 Site Location

  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 137,818 0 0 -219,762 0 357,580
Annual Time Burden (Hours) 68,909 0 0 -11,648 0 80,557
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This is a request for reinstatement of a previously-approved collection, which expired on March 31, 2012, with a three-year clearance. This request also changes the information collection to a common forms host, so the burden estimate only reflects the burden of the host agency, HHS.

$736,637
No
No
Yes
No
Yes
Uncollected
Ed Calimag 202 690-7569 [email protected]

  Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.
  This is a request to change this information collection to a host for Common Forms. As a result, it only reflects the burden for the host agency, HHS.
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title
DOL/DM 201404-1225-006CF DOL burden estimate for SF-424 Site Location Historical Active HHS Burden Estimate for 4040-0010
USDA/NIFA 201404-0524-053CF SF 424 Project/Performance Site Location(s) Form Historical Active USDA burden estimate for SF-424 Site Location

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/31/2013


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