Information Collection

Data Collection Form for Single Audits

IC 217480 under ICR 201604-0348-001 · OMB 0348-0057.

Documents and Forms

Document Name Document Type
2013 Form SF-SAC Instructions 9-6-2013_Changes_Highlighted.pdf Instruction
2010 SF-SAC Revision Instructions.pdf Instruction
Form SF-SAC Instructions_FR.pdf Instruction
0348-0057 SF-SAC Data Collection For Single Audit 2013 Form SF-SAC 10-31-2013.pdf Form
0348-0057 SF-SAC Data Collection Form for Single Audits 2010 SF-SAC Revison Form.pdf Form
0348-0057 SF-SAC Form SF-SAC_FR.pdf Form
0348-0057 CF SF-SAC Concept Form Final Re-ordered Form SF-SAC_longform_PilotConceptForm.pdf Form
2016-09413 FR Notice 4 22 2016.pdf Federal Notice 30 days PRA IC Document
2015 SF-SAC Public Comments and Responses .docx Comments and Responses from 60 FR PRA Notice IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Data Collection Form for Single Audits	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.9 2 CFR 200, Subpart F 5 CFR 1320.8(b)(3) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2013 Form SF-SAC Instructions 9-6-2013_Changes_Highlighted.pdf	Yes	Yes	Paper Only
Form	0348-0057	SF-SAC Data Collection For Single Audit	2013 Form SF-SAC 10-31-2013.pdf	Yes	Yes	Fillable Fileable Signable
Form	0348-0057	SF-SAC Data Collection Form for Single Audits	2010 SF-SAC Revison Form.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			2010 SF-SAC Revision Instructions.pdf	Yes	Yes	Printable Only
Form	0348-0057	SF-SAC	Form SF-SAC_FR.pdf	Yes	Yes	Fillable Fileable
Instruction			Form SF-SAC Instructions_FR.pdf	No		Printable Only
Form	0348-0057 CF	SF-SAC Concept Form	Final Re-ordered Form SF-SAC_longform_PilotConceptForm.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72,600	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	Previously Approved
Annual Number of Responses for this IC	72,600	-3,400	76,000
Annual IC Time Burden (Hours)	1,452,000	-68,000	1,520,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Federal Notice 30 days PRA	2016-09413 FR Notice 4 22 2016.pdf	04/27/2016
Comments and Responses from 60 FR PRA Notice	2015 SF-SAC Public Comments and Responses .docx	04/27/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.