View RCF  - Agency Submission

Received in OIRA 02/28/2022
USDA/RUS 0572-0136
4040-0009 201810-4040-008
SF-424 D, "Assurances – Non Construction Programs"
This form must be completed by the applicant to provide the Federal government certain assurances of the applicant's legal authority to apply for Federal assistance and financial capability to pay the non-Federal share of project costs. The applicant also assures compliance with various legal and regulatory requirements as described in the form. (0572-0136)
Kimble Brown 202 692-0042 [email protected]

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HHS burden for SF-424D Assurances -- Construction Programs 60 30 0 Form and Instruction 4040-0009 Assurances - Construction Programs

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 60 0 0 60 0 0
Annual Time Burden (Hours) 30 0 0 30 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Miscellaneous Actions
This is a request to use the common form resulting in the use of 30 burden hours.