Regulatory Collection Filing

Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program

RCF 201912-1505-001CF · Host ICR 201910-4040-001 · OMB 4040-0004

RCF Summary

Host OMB Control No.	4040-0004
Host ICR Reference No.	201910-4040-001
Agency/Subagency	TREAS/DO
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2019-12-30
Conclusion Date	2019-12-30
Related Links	OMB 4040-0004 · ICR 201910-4040-001 · Previous RCF 201808-1505-001CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 12/30/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/30/2019
Terms of Clearance:

Description of Agency Usage: This is a standard form used by applicants for federal assistance.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Nevelyn Jones 202 622-1809 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS SF-424 Burden Collection		8	8	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	8	8
Annual Time Burden (Hours)	8	8
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: