Regulatory Collection Filing

SF-270 Request for Advance or Reimbursement

RCF 201607-0575-010CF · Host ICR 201509-4040-004 · OMB 4040-0012

RCF Summary

Host OMB Control No.	4040-0012
Host ICR Reference No.	201509-4040-004
Agency/Subagency	USDA/RHS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-01-03
Conclusion Date	2017-01-09
Agency Tracking No.	0575-0198
Related Links	OMB 4040-0012 · ICR 201509-4040-004 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-270 Request for Advance or Reimbursement

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/09/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/03/2017
Terms of Clearance:

Description of Agency Usage: Community Facilities Technical Asst. & Training Grant Program (0575-0198) grantees must complete this form and submit it to either the State or National Office not more frequently than monthly.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Nathan Chitwood 573 876-0965

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
4040-0012 SF-270 Request for Advance or Reimbursement Form		204	204	0	Form	4040-0012	SF-270 Request for Advance or Reimbursement Form
4040-0012 SF-270 Request for Advance or Reimbursement Form		216	216	0	Form	4040-0012	SF-270 Request for Advance or Reimbursement Form

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	420	420
Annual Time Burden (Hours)	420	420
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

Short Statement: Common form usage.