SF-424B Assurances -- Non-construction Programs 4040-0007

Forms and Documents

Document Name	Status
Form 4040-0007 Assurances for Non-Construction Programs (SF-424B) Form	Modified
Supporting Statement 4040-0007 SF424B v1.1.docx Supporting Statement A	2018-11-07

IC Document Collections

IC ID	Document Title	Status
196683	Assurances for Non-Construction Programs (SF-424B) Form	Modified

ICR Details

OMB Control No: 4040-0007	ICR Reference No: 201810-4040-003
Status: Active	Previous ICR Reference No: 201509-4040-001
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-424B Assurances -- Non-construction Programs 4040-0007
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/22/2019
	Date Received in OIRA: 12/10/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2022	36 Months From Approved	02/28/2019
Responses	9,772	0	40,000
Time Burden (Hours)	4,886	0	20,000
Cost Burden (Dollars)	0	0	0

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Abstract: Applicants use the SF-424B to provide information on required assurances when applying for Federal financial assistance under non-construction grant programs. This is a common form.

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Authorizing Statute(s): PL: Pub.L. 109 - 282 2590 Name of Law: Federal Funding Accountability and Transparency Act of 2006
   PL: Pub.L. 106 - 107 468 Name of Law: Federal Financial Assistance Management Improvement Act of 1999
  

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:
	83 FR 19068	05/01/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 44635	08/31/2018
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Assurances for Non-Construction Programs (SF-424B)	4040-0007	Assurances for Non-Construction Programs (SF-424B)

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ICR Summary 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	9,772	40,000	0	-30,228	0	0
Annual Time Burden (Hours)	4,886	20,000	0	-15,114	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The number of responses of this IC has decreased to 9,772, therefore the burden hours reflected in this ICR have decreased to 4,886 hours. The burden reported for this ICR only reflects that of HHS. As this will be a Common Form, Grants.gov is only required to report the burden for HHS. All other agencies using this IC are required to report their own burden.

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Annual Cost to Federal Government: $95,277

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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 multiple agencies as part of the grants application process.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/RHS	202007-0575-003CF	SF 424B Assurances – Non-Construction Programs	Active	Assurances for Non-Construction Programs (SF-424B)
NRC	202008-3150-003CF	Assurances for Non-Construction Programs (SF-424B)	Active	Assurances for Non-Construction Programs (SF-424B)
USDA/FSA	202011-0560-005CF	SF-424B Assurances Non-Construction	Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RUS	202006-0572-002CF	SF- 424B, Assurances--Non-construction Programs	Active	Assurances for Non-Construction Programs (SF-424B)
FFIEC	202008-3139-003CF	Assurances for Non-construction Programs	Active	Assurances for Non-Construction Programs (SF-424B)
DOI/NPS	201902-1024-003CF	SF-424B - Assurances for Non-Construction common form usage for NPS.	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/AMS	201902-0581-004CF	SF 424B - Assurances Non-Construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	201902-0575-008CF	SF-424B Assurances - Non Construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOL/DM	201902-1225-002CF	SF-424B Assurances -- Non-construction Programs 4040-0007	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS	201902-0570-013CF	Assurances - Non-Construction Programs - SF-424B	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	201902-0575-009CF	SF-424B Assurances - Non Construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FAS	201907-0551-003CF	Assurances for Non-Construction Programs	Active	Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)
DOD/DODDEP	201902-0704-002CF	SF-424B Assurances -- Non-construction Programs 4040-007	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/ONRR	201902-1012-002CF	Request to use 424B - Assurance for Non-Construction form for ONRR.	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OSMRE	201902-1029-005CF	Request to use 424B - Assurances for Non-Construction form for OSMRE	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/BLM	201902-1004-004CF	BLM - 424B, Assurances for Non-Construction Common Form Usage	Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS	201902-0579-005CF	Assurances for Non-construction Program (4040-0007)	Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	201902-0572-013CF	SF-424B - Assurances Non-construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOC/NTIA	201902-0660-004CF	Assurances for Non-Construction Programs (SF-424B) for 911 Grant Program	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	201902-0572-014CF	Assurances - Non-construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOT/FMCSA	201902-2126-003CF	SF-424B Assurances Non-Construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/FWS	201902-1018-003CF	SF-424B - Assurances for Non-Construction common form usage for USFWS	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS	201902-0570-016CF	SF-424B, Assurances - Non-Construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/RB	201902-1006-001CF	SF-424B - Assurances for Non-Construction common form usage for BOR	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/ONRR	201902-1012-003CF	SF-424B - Assurances for Non-Construction common form usage for ONRR	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/BLM	201902-1004-005CF	SF-424B - Assurances for Non-Construction common form usage for BLM	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	201902-0572-015CF	Assurances Non-Construction Programs, SF-424B	Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
TREAS/DO	201902-1505-002CF	Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program.	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS	201902-0579-007CF	Assurances - Non-constructions programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	201902-0575-011CF	SF-424B Assurances -- Non-Construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FS	201902-0596-004CF	Assurances for Non-Construction Programs (SF-424B)	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/GS	201902-1028-001CF	SF-424B - Assurances for Non-Construction common form usage for USGS	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OSMRE	201902-1029-006CF	SF-424B - Assurances for Non-Construction common form usage for OSMRE	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OS	201902-1093-001CF	SF-424B - Assurances for Non-Construction common form usage for OS/PMB	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/NPS	201902-1024-004CF	SF-424B - Assurances for Non-Construction common form usage for NPS	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	201902-0575-010CF	SF-424B Assurances – Nonconstruction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	201902-0572-011CF	Assurances - Non-Construction Programs SF424B	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS	201902-0570-014CF	SF - 424B Assurances - Non-Construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS	201902-0570-015CF	SF-424B - Assurances for Non Construction Programs	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	201902-0572-012CF	Assurances - Non-Construction Programs SF-424B	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS	201902-0579-006CF	Non-Construction Program	Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FNS	201902-0584-003CF	SF-424B Assurances for Non-Construction Programs (FNS)	Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
ED/OM	201902-1880-001CF	SF-424B Assurances -- Non-construction Programs 4040-0007	Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RBS	201906-0570-002CF	Standard Form 424 B	Active	Assurances for Non-Construction Programs (SF-424B)
DOT/FAA	202004-2120-015CF	FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - 424B Forms Request	Active	Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)
DOT/FAA	202003-2120-002CF	FAA Aircraft Pilots Workforce Development Grant Program - SF424B Assurances Forms Request	Active	Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)

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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: 12/10/2018

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