View RCF - OIRA Conclusion

Title: SF424D Assurances - Construction Programs

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 02/25/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/25/2022
Terms of Clearance:

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.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Susan Woolard 202 720-9631 [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		5	3	0	Form and Instruction	4040-0009	Assurances - Construction Programs

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	5	5
Annual Time Burden (Hours)	3	3
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:

202202-0570-029CF