Regulatory Collection Filing

Assurances for Non-construction Program (4040-0007)

RCF 201702-0579-013CF · 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/APHIS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-02-28
Conclusion Date	2017-03-06
Related Links	OMB 4040-0007 · ICR 201509-4040-001 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Assurances for Non-construction Program (4040-0007)

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/06/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/28/2017
Terms of Clearance:

Description of Agency Usage: This form is used for non-construction activities related to the control of Scrapie. (0579-0101)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Diane Sutton 301 734-6954

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		27	14	0	Form and Instruction	4040-0007	4040-0007 Assurances - Non-Construction Programs
HHS burden for SF-424B Assurances -- Non-construction Programs		3	2	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	30	30
Annual Time Burden (Hours)	16	16
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.