Regulatory Collection Filing

SF 424-D, “Assurances for Construction Programs”

RCF 202411-0570-010CF · Host ICR 202410-4040-001 · OMB 4040-0009

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0009
Host ICR Reference No.	202410-4040-001
Agency/Subagency	USDA/RBS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2024-11-04
Conclusion Date	2024-11-04
Agency Tracking No.	0570-0081
Related Links	OMB 4040-0009 · ICR 202410-4040-001 · Previous RCF 202212-0570-003CF · Retrieve Notice of Action (NOA)

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Title: SF 424-D, âAssurances for Construction Programsâ

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Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 11/04/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/04/2024
Terms of Clearance:

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Description of Agency Usage: Completed once, by the applicant, at the time of application to confirm that the applicant has legal authority to apply for federal assistance and will comply with all applicable requirements and statutes. 0570-0081

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Pamela Bennett 202 720-9639 [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
HHS burden for SF-424D Assurances -- Construction Programs		189	95	0	Form and Instruction	4040-0009	Assurances - Construction Programs

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Previously Approved
Annual Number of Responses	189	189
Annual Time Burden (Hours)	95	95
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: