202410-0570-003CF RCF OMB: 0575-0201
OMB.report
OMB 0575-0201
RCF 202410-0570-003CF
( RCF New )
Array
(
[refNbr] => 202410-0570-003CF
[obm] => 0575-0201
[icr] => 202111-0575-001
[status] => Received in OIRA
[agency] => USDA/RBS
[title] => RD 400-4 Assurance Agreement
[typeRCF] => RCF New
[oiraAction] => (function(){var g=function(e,h,f,g){ this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b=e/100?0:
[oiraNOA] => (function(
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => 0570-0067
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202410-0570-003CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 07/31/2025
Agency/Subagency: USDA/RBSAgency Tracking No: 0570-0067
Host OMB Control No: 0575-0201Host ICR Reference No: 202111-0575-001
Title: RD 400-4 Assurance Agreement
Description of Agency Usage:
Each grantee is required to complete this form to comply with Civil Rights Acts and laws. OMB No. 0570-0067
RD 400-4 Assurance Agreement OMB No. 0575-0201
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Katherine Mathis 202 713-7565 [email protected]
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
3,842
0
0
3,842
0
0
Annual Time Burden (Hours)
961
0
0
961
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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 961 burden hours.