Regulatory Collection Filing

SF-424B Assurances -- Non-construction Programs 4040-007

RCF 201802-0704-003CF · 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	DOD/DODDEP
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2018-02-12
Conclusion Date	2018-02-18
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 4040-007

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/18/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/12/2018
Terms of Clearance:

Description of Agency Usage: DoD is one of the 26 agencies that use the site for its application receipt and therefore needs to use this common form.

Authorizing Statute(s): None

Annual Cost to Federal Government: $609
Agency Contact: Frederick Licari 571 372-0493 [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		7	4	0	Form and Instruction	4040-0007	4040-0007 Assurances - Non-Construction Programs

RCF Summary of Burden:

	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	7	7
Annual Time Burden (Hours)	4	4
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: