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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4040-0007 Assurances for Non-Construction Programs (SF-424B)	Form	Unchanged	Available
Form 4040-0007 Assurances for Non-Construction Programs (SF-424B)	Form	Unchanged	Repair queued
Supporting Statement 4040-0007 SF424B v1.1.docx	Supporting Statement A	Uploaded 2022-01-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196683	Assurances for Non-Construction Programs (SF-424B)	Form	Unchanged	Assurances for Non-Construction Programs (SF-424B)
196683	Assurances for Non-Construction Programs (SF-424B)	Form	Unchanged

ICR Details

OMB Control No: 4040-0007	ICR Reference No: 202111-4040-002
Status: Historical Active	Previous ICR Reference No: 201810-4040-003
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: 02/25/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/24/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2025	36 Months From Approved	02/28/2022
Responses	9,772	0	9,772
Time Burden (Hours)	4,886	0	4,886
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:
	86 FR 53333	11/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 2617	01/18/2022
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
Assurances for Non-Construction Programs (SF-424B)	4040-0007	Assurances for Non-Construction Programs (SF-424B)

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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	9,772	9,772	0	0	0	0
Annual Time Burden (Hours)	4,886	4,886	0	0	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: No

Burden Reduction Due to:

Short Statement:

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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? No

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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: 

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/NRCS	202202-0578-008CF	Partnerships for Climate-Smart Commodities	Historical Active	Assurances for Non-Construction Programs (SF-424B)
ED/OM	202202-1880-003CF	SF-424B Assurances -- Non-construction Programs 4040-0007	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RUS	202202-0572-044CF	SF 424B -Assurances--Non-construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/AMS	202202-0581-007CF	SF 424B - Assurances Non-Construction Programs	Historical 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	202202-0575-020CF	SF-424B Assurances - Non Construction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	202202-0575-023CF	SF 424B Assurances – Non-Construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOT/FAA	202202-2120-014CF	FAA Aircraft Pilots Workforce Development Grant Program - SF424B Assurances Forms Request	Historical Active	Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)
NRC	202202-3150-003CF	Assurances for Non-Construction Programs (SF-424B)	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RUS	202202-0572-040CF	Assurances Non-Construction Programs, SF-424B	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOC/NTIA	202203-0660-003CF	Assurances (SF-424B) for NTIA Broadband Grant Programs (Non-Construction)	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOC/NTIA	202202-0660-005CF	Assurances for Non-Construction Programs (SF-424B) for 911 Grant Program	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS	202202-0570-055CF	Form SF-424B, Assurances for Non-Construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RBS	202202-0570-054CF	SF-424B Assurances—Non-Construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RBS	202202-0570-050CF	SF - 424B Assurances - Non-Construction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OSMRE	202202-1029-007CF	SF-424B - Assurances for Non-Construction common form usage for OSMRE	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OSMRE	202202-1029-006CF	Request to use 424B - Assurances for Non-Construction form for OSMRE	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/FWS	202202-1018-010CF	SF-424B - Assurances for Non-Construction common form usage for USFWS	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS	202202-0570-053CF	Standard Form 424 B	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/FS	202202-0596-007CF	Assurances for Non-Construction Programs (SF-424B)	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS	202202-0579-010CF	Assurances - Non-constructions programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	202202-0572-045CF	Form SF-424B, “Assurances--Non-construction Programs”	Historical Active	Assurances for Non-Construction Programs (SF-424B)
VA	202412-2900-003CF	Veterans Legacy Grants Program	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOW/DODDEP	202202-0704-002CF	SF-424B Assurances -- Non-construction Programs 4040-007	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	202202-0572-043CF	SF 424B Assurances--Non-construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
FFIEC	202202-3139-002CF	Assurances for Non-construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOT/FAA	202202-2120-013CF	FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - 424B Forms Request	Historical Active	Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)
USDA/RUS	202202-0572-039CF	Assurances - Non-construction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FSA	202202-0560-005CF	SF-424B Assurances Non-Construction	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOI/RB	202202-1006-002CF	SF-424B - Assurances for Non-Construction common form usage for BOR	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	202202-0575-019CF	SF-424B Assurances - Non Construction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS	202404-0579-006CF	Non-Construction Program	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOT/FHWA	202405-2125-004CF	Assurances for Non-Construction Programs (SF-424B)	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RUS	202202-0572-036CF	Assurances - Non-Construction Programs SF424B	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/GS	202202-1028-001CF	SF-424B - Assurances for Non-Construction common form usage for USGS	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/BLM	202202-1004-006CF	BLM - 424B, Assurances for Non-Construction Common Form Usage	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOT/FRA	202411-2130-012CF	Assurances for Non-Construction Programs (4040-0007)	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOL/DM	202202-1225-004CF	SF-424B Assurances -- Non-construction Programs 4040-0007	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	202202-0575-021CF	SF-424B Assurances – Nonconstruction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	202202-0575-022CF	SF-424B Assurances -- Non-Construction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FAS	202202-0551-003CF	Assurances for Non-Construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)
USDA/RBS	202202-0570-056CF	SF-424B, “Assurances – Non-Construction Programs”.	Historical Active	Assurances for Non-Construction Programs (SF-424B)
ED/OM	202202-1880-004CF	SF-424B Assurances - Non-construction Programs 4040-0007	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RBS	202202-0570-051CF	SF-424B - Assurances for Non Construction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OS	202202-1093-001CF	SF-424B - Assurances for Non-Construction common form usage for OS/PMB	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS	202202-0575-024CF	SF 424B Assurances - Non Construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOI/NPS	202202-1024-005CF	SF-424B - Assurances for Non-Construction common form usage for NPS.	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS	202202-0570-049CF	Assurances - Non-Construction Programs - SF-424B	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS	202202-0579-009CF	Non-Construction Program	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
TREAS/DO	202202-1505-003CF	Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program.	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOT/FMCSA	202202-2126-004CF	SF-424B Assurances Non-Construction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
VA	202311-2900-008CF	SF 424-B, “Assurances for Non-Construction Programs”	Historical Active	Assurances for Non-Construction Programs (SF-424B)
VA	202205-2900-004CF	SF-424B - Assurances - Non-Construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOI/ONRR	202202-1012-004CF	SF-424B - Assurances for Non-Construction common form usage for ONRR	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	202202-0572-037CF	Assurances - Non-Construction Programs SF-424B	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FNS	202202-0584-009CF	SF-424B Assurances for Non-Construction Programs (FNS)	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS	202202-0572-038CF	SF-424B - Assurances Non-construction Programs	Historical 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
USDA/RBS	202205-0570-013CF	SF 424B - Assurances - Non-Construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/FNS	202202-0584-010CF	Assurances for Non-Construction Programs (SF-424B)	Historical Active	Assurances for Non-Construction Programs (SF-424B)
DOI/NPS	202202-1024-006CF	SF-424B - Assurances for Non-Construction common form usage for NPS	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/BLM	202202-1004-007CF	SF-424B - Assurances for Non-Construction common form usage for BLM	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS	202202-0570-052CF	SF-424B, Assurances - Non-Construction Programs	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs
HUD/HUDSEC	202406-2501-001CF	SF424B - HUD NOFOs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RUS	202202-0572-041CF	SF- 424B, Assurances--Non-construction Programs	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/RUS	202202-0572-042CF	SF-424 B, “Assurances- Non-Construction Programs”	Historical Active	Assurances for Non-Construction Programs (SF-424B)
USDA/APHIS	202202-0579-008CF	Assurances for Non-construction Program (4040-0007)	Historical Active	HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/ONRR	202202-1012-003CF	Request to use 424B - Assurance for Non-Construction form for ONRR.	Historical Active	HHS burden for SF-424B Assurances -- Non-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: 01/24/2022

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