Information Collection

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

IC 276878 under ICR 202508-0596-002CF · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 4040-0009 Assurances - Construction Programs HHS burden for SF-424D Assurances -- Construction Programs	Form and Instruction
4040-0009 Assurances - Construction Programs 4040-0009 SF424D.pdf	Form and Instruction

IC Title:

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

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4040-0009				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: 21

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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