HHS Burden Estimate for 4040-0010

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0010 can be found here:

Documents and Forms

Document Name Document Type
Form 4040-0010 HHS Burden Estimate for 4040-0010 Form
4040-0010 Key Contacts Key_Contacts-V1.0.pdf Form
4040-0010 Project/Performance Site Location PerformanceSite_1_4-V1.4.pdf Form
4040-0010 Project Abstract Project_Abstract-V1.1.pdf Form

Information Collection (IC) Details

IC Title:	HHS Burden Estimate for 4040-0010	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4040-0010	Key Contacts	Key_Contacts-V1.0.pdf	Yes	Yes	Fillable Fileable
Form	4040-0010	Project/Performance Site Location	PerformanceSite_1_4-V1.4.pdf	Yes	Yes	Fillable Fileable
Form	4040-0010	Project Abstract	Project_Abstract-V1.1.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 137,818	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	137,818	15,479	122,339
Annual IC Time Burden (Hours)	68,909	46,480	22,429
Annual IC Cost Burden (Dollars)	0	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.