HHS SF-424 Short Organizational Burden Estimate 4040-0003

SF-424 Short Organizational (Short) 4040-0003

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0003 can be found here:

Documents and Forms

Document Name Document Type
Form 4040-0003 HHS SF-424 Short Organizational Burden Estimate 4040-0003 Form
4040-0003 SF-424 Short Organization Form SF424_Short_1_1-V1.1.pdf Form

Information Collection (IC) Details

IC Title:	HHS SF-424 Short Organizational Burden Estimate 4040-0003	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 220 2 CFR 225 2 CFR 215 2 CFR 230 5 CFR 1320.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4040-0003	SF-424 Short Organization Form	SF424_Short_1_1-V1.1.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Property Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,388	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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	8,388	4,485	3,903
Annual IC Time Burden (Hours)	4,194	2,242	1,952
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.