Regulatory Collection Filing

SF-424B - Assurances for Non-Construction common form usage for OS/PMB

RCF 201902-1093-001CF · 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	DOI/OS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2019-02-22
Conclusion Date	2019-02-22
Related Links	OMB 4040-0007 · ICR 201810-4040-003 · Previous RCF 201807-1093-001CF · Retrieve Notice of Action (NOA)

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Title: SF-424B - Assurances for Non-Construction common form usage for OS/PMB

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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: SF-424B - Assurances for Non-Construction common form usage for OS/PMB

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Jeffrey Parrillo 202 208-7072 [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		274	137	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
Annual Number of Responses	274	274
Annual Time Burden (Hours)	137	137
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: