SF-424D - Assurances for Construction Programs 4040-0009

Forms and Documents

Document Name	Status
Form 4040-0009 VA burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 USDA burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 USAID burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 SBA burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 NIST burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 HHS burden for SF-424D Assurances -- Construction Programs Form and Instruction	Modified
Form 4040-0009 DOT burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 DOI burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 DOD burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 DHS burden for SF-424D Assurances -- Construction Programs Form	Removed
Form 4040-0009 Commerce burden for SF-424D Assurances -- Construction Programs Form	Removed
Supporting Statement 4040-0009 SF424D v1.2.docx Supporting Statement A	2018-12-07

IC Document Collections

IC ID	Document Title	Status
196707	VA burden for SF-424D Assurances -- Construction Programs Form	Removed
196706	USDA burden for SF-424D Assurances -- Construction Programs Form	Removed
196705	USAID burden for SF-424D Assurances -- Construction Programs Form	Removed
196704	SBA burden for SF-424D Assurances -- Construction Programs Form	Removed
196703	NIST burden for SF-424D Assurances -- Construction Programs Form	Removed
196702	HHS burden for SF-424D Assurances -- Construction Programs Form and Instruction	Modified
196701	DOT burden for SF-424D Assurances -- Construction Programs Form	Removed
196700	DOI burden for SF-424D Assurances -- Construction Programs Form	Removed
196699	DOD burden for SF-424D Assurances -- Construction Programs Form	Removed
196698	DHS burden for SF-424D Assurances -- Construction Programs Form	Removed
196697	Commerce burden for SF-424D Assurances -- Construction Programs Form	Removed

ICR Details

OMB Control No: 4040-0009	ICR Reference No: 201810-4040-008
Status: Active	Previous ICR Reference No: 201103-4040-004
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-424D - Assurances for Construction Programs 4040-0009
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 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	06/30/2014
Responses	353	0	5,140
Time Burden (Hours)	177	0	2,574
Cost Burden (Dollars)	0	0	0

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Abstract: Applicants use the SF-424D form to provide information on required assurances when applying for Federal financial assistance under construction grant programs.

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

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 19069	05/01/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 44636	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
DOT burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
NIST burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
USDA burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
SBA burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
USAID burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
VA burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
DOD burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
DOI burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
Commerce burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
DHS burden for SF-424D Assurances -- Construction Programs	4040-0009	SF-424D
HHS burden for SF-424D Assurances -- Construction Programs	4040-0009	Assurances - Construction Programs

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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	353	5,140	0	-4,787	0	0
Annual Time Burden (Hours)	177	2,574	0	-2,397	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The requested number of Burden Hours has decreased to 177 hours from 2,574 hours as a result of a decrease in the number of responses since the last ICR.

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Annual Cost to Federal Government: $6,903

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 in grant applications.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/RBS	202010-0570-003CF	Assurances – Construction Programs	Active	HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS	202003-0570-004CF	SF 424D - Assurances - Construction Programs	Active	HHS burden for SF-424D Assurances -- Construction Programs
USDA/FS	201802-0596-018CF	Assurances - Construction Program (SF-424D)	Active	HHS burden for SF-424D Assurances -- 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: 12/10/2018

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