Regulatory Collection Filing

SF-424 Project/Performance Site Location(s) Form; Key Contacts; Project Abstract --DOL Usage

RCF 201912-1225-002CF · Host ICR 201907-4040-001 · OMB 4040-0010

RCF Summary

Host OMB Control No.	4040-0010
Host ICR Reference No.	201907-4040-001
Agency/Subagency	DOL/DM
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2019-12-31
Conclusion Date	2019-12-31
Related Links	OMB 4040-0010 · ICR 201907-4040-001 · Previous RCF 201703-1225-013CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-424 Project/Performance Site Location(s) Form; Key Contacts; Project Abstract --DOL Usage

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 12/31/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/31/2019
Terms of Clearance:

Description of Agency Usage: This request is to capture DOL usage of these forms in grant activities.

Authorizing Statute(s): None

Annual Cost to Federal Government: $609
Agency Contact: Michel Smyth 202 693-0638 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Responses	Hours	Document Type	Form No.	Form Name
Key Contacts	2,600	2,600	Form	4040-0010	Key Contacts
Project Abstract	2,600	2,600	Form	4040-0010	Project Abstract
Project Performance Site Location	2,600	2,600	Form	4040-0010	Project/Performance Site Location

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	7,800	7,800
Annual Time Burden (Hours)	7,800	7,800
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: