202412-2130-001CF RCF OMB: 4040-0012
OMB.report
OMB 4040-0012
RCF 202412-2130-001CF
( RCF New )
Array
(
[refNbr] => 202412-2130-001CF
[obm] => 4040-0012
[icr] => 202108-4040-001
[status] => Received in OIRA
[agency] => DOT/FRA
[title] => 4040-0012 SF 270 Request for Advance or Reimbursement
[typeRCF] => RCF New
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[oiraNOA] => (function(
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] =>
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202412-2130-001CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 01/31/2025
Agency/Subagency: DOT/FRAAgency Tracking No:
Host OMB Control No: 4040-0012Host ICR Reference No: 202108-4040-001
Title: 4040-0012 SF 270 Request for Advance or Reimbursement
Description of Agency Usage:
This form collects advance payment or reimbursement request from awardee by program/function/activity, including payee information, program outlays to date, program income, and proposed estimated outlays. Specify outlays by Federal and non-Federal shares, and amount requested for advance or reimbursement.
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Arlette Mussington 202 402-4109 [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
860
0
0
0
860
0
Annual Time Burden (Hours)
860
0
0
0
860
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement: