Regulatory Collection Filing

SF 424D - Assurances for Construction Programs

RCF 202205-0570-006CF · Host ICR 202112-4040-002 · OMB 4040-0009

RCF Summary

Host OMB Control No.	4040-0009
Host ICR Reference No.	202112-4040-002
Agency/Subagency	USDA/RBS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2022-05-25
Conclusion Date	2022-05-25
Related Links	OMB 4040-0009 · ICR 202112-4040-002 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF 424D - Assurances for Construction Programs

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/25/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/25/2022
Terms of Clearance:

Description of Agency Usage: This is the standard from signed by applicant to provide assurances that they will meet certain requirements of 2 CFR part 200. (0570-0067)

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		1,871	936	0	Form and Instruction	4040-0009	Assurances - Construction Programs

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,871	1,871
Annual Time Burden (Hours)	936	936
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: The agency is requesting to use the form which will result in a program change of 936 burden hours.