Regulatory Collection Filing

SF270 - Request for Advance or Reimbursement

RCF 202205-0570-022CF · Host ICR 202108-4040-001 · OMB 4040-0012

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0012
Host ICR Reference No.	202108-4040-001
Agency/Subagency	USDA/RBS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2022-05-31
Conclusion Date	2022-05-31
Related Links	OMB 4040-0012 · ICR 202108-4040-001 · Retrieve Notice of Action (NOA)

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Title: SF270 - Request for Advance or Reimbursement

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/31/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/31/2022
Terms of Clearance:

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Description of Agency Usage: Grant recipients will submit SF 270 for disbursement of grant funds. RBCS uses it to approve the disbursement. The use of this form complies with 2 CFR part 200. (0570-0078)

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Susan Woolard 202 720-9631 [email protected]

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
4040-0012 SF-270 Request for Advance or Reimbursement Form		5	5	0	Form	4040-0012	SF-270 Request for Advance or Reimbursement Form

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	5	5
Annual Time Burden (Hours)	5	5
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: The agency is requesting to use the form which will result in a program change of 5 burden hours.