View RCF - OIRA Conclusion

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

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/01/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/23/2018
Terms of Clearance:

Description of Agency Usage: This form certifies that the applicant will comply with Federal Executive Orders and statutes (0575-0180).

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Shirley Stevenson 202 205-9685

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		90	45	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	90	90
Annual Time Burden (Hours)	45	45
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:

201804-0575-026CF