Regulatory Collection Filing

Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program

RCF 202202-1505-002CF · Host ICR 202111-4040-003 · OMB 4040-0006

RCF Summary

Host OMB Control No.	4040-0006
Host ICR Reference No.	202111-4040-003
Agency/Subagency	TREAS/DO
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2022-02-25
Conclusion Date	2022-02-25
Related Links	OMB 4040-0006 · ICR 202111-4040-003 · Previous RCF 201902-1505-003CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program

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 a standard form used by applicants for federal assistance.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Nevelyn Jones 202 622-1809 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS burden estimate for SF-424A Budget Information -- Non-Construction		7	7	0	Form	4040-0006	Budget Information for Non-Construction Programs (SF-424A)
		7	7	0	Instruction

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	7	7
Annual Time Burden (Hours)	7	7
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: