Regulatory Collection Filing

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

RCF 201611-1225-011CF · 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	DOL/DM
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2016-11-25
Conclusion Date	2016-12-01
Related Links	OMB 4040-0007 · ICR 201509-4040-001 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

RCF ID: 201611-1225-011CF	Previous RCF ID:
Status: Historical Active	Expiration Date: 02/28/2019
Agency/Subagency: DOL/DM	Agency Tracking No:
Host OMB Control No: 4040-0007	Host ICR Reference No: 201509-4040-001

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

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/01/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/25/2016
Terms of Clearance:

Description of Agency Usage: DOL participation as outlined in the supporting statement.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Michel Smyth 202 693-0638 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS burden for SF-424B Assurances -- Non-construction Programs		2,265	1,133	0	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	2,265	2,265
Annual Time Burden (Hours)	1,133	1,133
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: To accommodate system limitations, DOL had previously suspended its formal participation in this ICR to allow the parent collection to be extended, That has now happened and the Department is acknowledging its estimated burden.