Regulatory Collection Filing

SF 424B - Assurances Non-Construction Programs

RCF 201610-0581-014CF · Host ICR 201509-4040-001 · OMB 4040-0007

RCF Summary

Host OMB Control No.	4040-0007
Host ICR Reference No.	201509-4040-001
Agency/Subagency	USDA/AMS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2016-10-04
Conclusion Date	2016-10-10
Agency Tracking No.	0581-0240
Related Links	OMB 4040-0007 · ICR 201509-4040-001 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF 424B - Assurances Non-Construction Programs

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/10/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/04/2016
Terms of Clearance:

Description of Agency Usage: Submission of burden request for common form usage.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Evan Hughes 202 205-3941 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Responses	Hours	Document Type	Form No.	Form Name
HHS burden for SF-424B Assurances -- Non-construction Programs	70	35	Form and Instruction	4040-0007	4040-0007 Assurances - Non-Construction Programs
HHS burden for SF-424B Assurances -- Non-construction Programs	750	375	Form and Instruction	4040-0007	4040-0007 Assurances - Non-Construction Programs
HHS burden for SF-424B Assurances -- Non-construction Programs	750	375	Form and Instruction	4040-0007	4040-0007 Assurances - Non-Construction Programs
HHS burden for SF-424B Assurances -- Non-construction Programs	25	13	Form and Instruction	4040-0007	4040-0007 Assurances - Non-Construction Programs
HHS burden for SF-424B Assurances -- Non-construction Programs	56	28	Form and Instruction	4040-0007	4040-0007 Assurances - Non-Construction Programs

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,651	1,651
Annual Time Burden (Hours)	826	826
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: Submission for usage of common form.