Information Collection

HHS burden for SF-424D Assurances -- Construction Programs

IC 241712 under ICR 202202-0596-004CF · OMB 4040-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0009 can be found here:

Documents and Forms

Document Name Document Type
Form 4040-0009 HHS burden for SF-424D Assurances -- Construction Programs Form and Instruction
4040-0009 Assurances - Construction Programs 4040-0009 SF424D.pdf Form and Instruction

Information Collection (IC) Details

View RCF Information Collection (IC)

IC Title:	HHS burden for SF-424D Assurances -- Construction Programs	Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 230 5 CFR 1320.5(d)(s) 2 CFR 225 2 CFR 220 2 CFR 215

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4040-0009	Assurances - Construction Programs	4040-0009 SF424D.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	38	38
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.