Regulatory Collection Filing

Assurances - Non-Construction Programs SF-424B

RCF 201902-0572-012CF · Host ICR 201810-4040-003 · OMB 4040-0007

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0007
Host ICR Reference No.	201810-4040-003
Agency/Subagency	USDA/RUS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2019-02-22
Conclusion Date	2019-02-22
Agency Tracking No.	0572-0139
Related Links	OMB 4040-0007 · ICR 201810-4040-003 · Previous RCF 201701-0572-022CF · Retrieve Notice of Action (NOA)

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

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Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 02/22/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/22/2019
Terms of Clearance:

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Description of Agency Usage: Household Water System Program (0572-0139) applicants read and sign this form to indicate the organization's intent to comply with the laws, regulations, and policies to which a grant is subject.

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: MaryPat Daskal 202-720-7853 [email protected]

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS burden for SF-424B Assurances -- Non-construction Programs		7	3.5	0	Form	4040-0007	Assurances for Non-Construction Programs (SF-424B)

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	7	7	0
Annual Time Burden (Hours)	3.5	4	-0.5
Annual Cost Burden (Dollars)	0	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: