Information Collection

HHS burden for SF-424B Assurances -- Non-construction Programs

IC 225041 under ICR 201612-0570-017CF · OMB 4040-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 4040-0007 HHS burden for SF-424B Assurances -- Non-construction Programs Form and Instruction
4040-0007 4040-0007 Assurances - Non-Construction Programs SF424B Non-Construction.pdf Form and Instruction

Information Collection (IC) Details

View RCF Information Collection (IC)

IC Title:	HHS burden for SF-424B Assurances -- Non-construction Programs	Agency IC Tracking Number:	0570-0062

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4040-0007	4040-0007 Assurances - Non-Construction Programs	SF424B Non-Construction.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19	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
Annual Number of Responses for this IC	19	19
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	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.