Real Property Status Report, Standard Form 4040-0016

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4040-0016 SF-429 Real Property Status Report, Standard Form 4040-0016	Form	Modified	Available
OMB comments on Grants.gov Standard forms - GrantsGov Response v2.xlsx	Supplementary Document	Uploaded 2016-01-14	Available
4040-0016 SF-429_SS_2015 v1.0.doc	Supporting Statement A	Uploaded 2016-01-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187071	SF-429 Real Property Status Report, Standard Form 4040-0016	Form	Modified

ICR Details

OMB Control No: 4040-0016	ICR Reference No: 201508-4040-017
Status: Historical Active	Previous ICR Reference No: 201406-4040-001
Agency/Subagency: EGOV	Agency Tracking No:
Title: Real Property Status Report, Standard Form 4040-0016
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
Responses	100,000	0	0
Time Burden (Hours)	100,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Public Law 106-107 requires the OMB to direct, coordinate, and assist Executive Branch departments and agencies in establishing an interagency process to streamline and simplify Federal financial assistance procedures for non-Federal entities. The law also requires executive agencies to develop, submit to the Congress, and implement a plan to achieve streamlined and simplified procedures. Twenty-six Executive Branch agencies jointly submitted a plan to the Congress in May 2001, as the Act required. The plan described the interagency process through which the agencies would review current policies and practices, and seek to streamline and simplify them. The process involved interagency work groups under the auspices of the Grants Management Committee of the Chief Financial Officers Council. The plan also identified substantive areas in which the interagency work groups had begun their review.

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Authorizing Statute(s): US Code: 44 USC Chapter 35 Name of Law: Paperwork Reduction Act
   PL: Pub.L. 106 - 107 5 Name of Law: Federal Finance Assistance Award
  

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 65963	11/06/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 7599	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-429 Real Property Status Report, Standard Form 4040-0016	4040-0016	SF-429 Real Property Status Report 4040-0016

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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	100,000	0	0	94,515	0	5,485
Annual Time Burden (Hours)	100,000	0	0	-3,443,685	0	3,543,685
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The SF429 has been re-categorized as a common form. Reporting reflects HHS burden only.

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Annual Cost to Federal Government: $3,900,000

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:  This form is used by all federal award recipients for the reporting of real property to the awarding agency. HHS is responsible for managing this IC. All federal awarding agencies must request the use of the common form and report burden hours.

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
DOI/NPS	201609-1024-011CF	SF-429 - Real Property Status Report common form usage for NPS.	Historical Active	SF-429 Real Property Status Report, Standard Form 4040-0016
USDA/FS	201802-0596-020CF	Real Property Status Report (SF-429)	Historical Active	SF-429 Real Property Status Report, Standard Form 4040-0016
DOI/BLM	201810-1004-002CF	SF-429 Real Property Status Report	Historical Active	SF-429 Real Property Status Report, Standard Form 4040-0016
DOI/OSMRE	201810-1029-001CF	SF 429 - Real Property Status Report	Historical Active	SF-429 Real Property Status Report, Standard Form 4040-0016
DOI/RB	201810-1006-002CF	SF 429 - Real Property Status Report	Historical Active	SF-429 Real Property Status Report, Standard Form 4040-0016
DOI/FWS	201810-1018-002CF	SF 429 - Real Property Status Report	Historical Active	SF-429 Real Property Status Report, Standard Form 4040-0016

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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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