Regulatory Collection Filing

Assurances - Non-Construction Programs - SF-424B

RCF 201612-0570-022CF · 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/RBS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2016-12-27
Conclusion Date	2017-01-02
Agency Tracking No.	0570-0006
Related Links	OMB 4040-0007 · ICR 201509-4040-001 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Assurances - Non-Construction Programs - SF-424B

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/02/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/27/2016
Terms of Clearance:

Description of Agency Usage: Form is submitted by applicant and used to obtain assurances of the applicant organization's legal authority to apply for Federal assistance, its financial capability to pay the non-Federal share of project costs, and its compliance with legal and regulatory requirements.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 [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		55	28	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	55	55
Annual Time Burden (Hours)	28	28
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.