Regulatory Collection Filing

Application, Reports, and Recordkeeping for the Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program.

RCF 201912-1505-002CF · Host ICR 201907-4040-001 · OMB 4040-0010

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0010
Host ICR Reference No.	201907-4040-001
Agency/Subagency	TREAS/DO
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 201901-1505-002CF · Retrieve Notice of Action (NOA)

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Title: Application, Reports, and Recordkeeping for the Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program.

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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:

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Description of Agency Usage: Utilized for gathering project/performance site information for SIPPRA grant applications

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Nevelyn Jones 202 622-1809 [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
Project Performance Site Location		8	8	0	Form	4040-0010	Project/Performance Site Location

RCF Summary of Burden:

table that charts list 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: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: