SF-271: Outlay Report and Request for Reimbursement for Construction Programs 4040-0011

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4040-0011 SF-271: Outlay Report and Request for Reimbursement for Construction Programs	Form	Modified	Repair queued
OMB comments on Grants.gov Standard forms - GrantsGov Response v2.xlsx	Supplementary Document	Uploaded 2016-01-14	Available
4040-0011 SF271 SS v1.2.doc	Supporting Statement A	Uploaded 2016-01-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
736	SF-271: Outlay Report and Request for Reimbursement for Construction Programs	Form	Modified

ICR Details

OMB Control No: 4040-0011	ICR Reference No: 201508-4040-013
Status: Historical Active	Previous ICR Reference No: 201307-4040-001
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-271: Outlay Report and Request for Reimbursement for Construction Programs 4040-0011
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/15/2016
	Date Received in OIRA: 10/13/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved	10/31/2013
Responses	40,000	0	40,000
Time Burden (Hours)	40,000	0	40,000
Cost Burden (Dollars)	0	0	0

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Abstract: Grantees use this form to request reimbursement for all construction programs.

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Authorizing Statute(s): US Code: 41 USC 405 Name of Law: null
   EO: EO 11541 Name/Subject of EO: null
   US Code: 31 USC 503 and 1111 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 65962	11/06/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 7598	02/11/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
SF-271: Outlay Report and Request for Reimbursement for Construction Programs	4040-0011	SF-271 Outlay Report and Request for Reimbursement for Construction Programs

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ICR Summary of Burden

table that charts list of burden

	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	40,000	40,000	0	0	0	0
Annual Time Burden (Hours)	40,000	40,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $425,271

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  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.

Description/Changes for Common Form Usage:  Recipients of financial assistance from any Federal grant-making agency use this form to request reimbursement for all construction programs.

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/FS	201802-0596-009CF	SF-271 OUTLAY REPORT AND REQUEST FOR REIMBURSEMENT FOR CONSTRUCTION PROGRAMS	Historical Active	SF-271: Outlay Report and Request for Reimbursement for Construction Programs
USDA/RBS	201802-0570-046CF	SF-271, “Outlay and Request for Reimbursement for Construction Programs”	Historical Active	SF-271: Outlay Report and Request for Reimbursement for Construction Programs
USDA/RBS	201802-0570-037CF	SF-271, “Outlay Report and request for Reimbursement for Construction Projects”	Historical Active	SF-271: Outlay Report and Request for Reimbursement for Construction Programs
USDA/RBS	201708-0570-034CF	SF-271 Outlay Report and request for Reimbursement for Construction Projects	Historical Active	SF-271: Outlay Report and Request for Reimbursement for Construction Programs

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/13/2015

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