Regulatory Collection Filing

Assurances – Construction Programs

RCF 202010-0570-003CF · Host ICR 201810-4040-008 · OMB 4040-0009

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0009
Host ICR Reference No.	201810-4040-008
Agency/Subagency	USDA/RBS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2020-11-19
Conclusion Date	2020-11-25
Related Links	OMB 4040-0009 · ICR 201810-4040-008 · Retrieve Notice of Action (NOA)

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Title: Assurances â Construction Programs

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/25/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/19/2020
Terms of Clearance:

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Description of Agency Usage: This is the standard form signed by applicants to provide assurances that they will meet certain requirements of OMB Circular A-102. This Form is used with OMB No. 0570-0067

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Thomas Dickson 202 690-4492 [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-424D Assurances -- Construction Programs		1,434	717	0	Form and Instruction	4040-0009	Assurances - Construction Programs

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,434	1,434
Annual Time Burden (Hours)	717	717
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: Agency is requesting approval to use the form that will result in 351.5 burden hours.