Regulatory Collection Filing

SF-424 D, "Assurances – Non Construction Programs"

RCF 202105-0572-012CF · Host ICR 201810-4040-008 · OMB 4040-0009

RCF Summary

Host OMB Control No.	4040-0009
Host ICR Reference No.	201810-4040-008
Agency/Subagency	USDA/RUS
Status	Received in OIRA
Type of RCF	RCF New
OIRA Conclusion Action	View RCF focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent;
Date Received in OIRA	1969-12-31
Conclusion Date	1969-12-31
Agency Tracking No.	0572-0136
Related Links	OMB 4040-0009 · ICR 201810-4040-008

RCF Details

View RCF - Agency Submission

Title: SF-424 D, "Assurances â Non Construction Programs"

Type of RCF: RCF New

Description of Agency Usage: 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)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 [email protected]

Common Form Information Collections (IC) in this RCF:

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

RCF Summary of Burden:

	Total Request	Change Due to Agency Discretion
Annual Number of Responses	60	60
Annual Time Burden (Hours)	30	30
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: This is a request to use the common form resulting in the use of 30 burden hours.