Regulatory Collection Filing

Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program

RCF 202506-1505-005CF · Host ICR 202502-4040-002 · OMB 4040-0006

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0006
Host ICR Reference No.	202502-4040-002
Agency/Subagency	TREAS/DO
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2025-06-23
Conclusion Date	2025-06-23
Related Links	OMB 4040-0006 · ICR 202502-4040-002 · Previous RCF 202202-1505-002CF · Retrieve Notice of Action (NOA)

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Title: Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program

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Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 06/23/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2025
Terms of Clearance:

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Description of Agency Usage: This is a standard form used by applicants for federal assistance.

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Nevelyn Jones 202 622-1809 [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 estimate for SF-424A Budget Information -- Non-Construction		7	7	0	Form	4040-0006	Budget Information for Non-Construction Programs (SF-424A)
		7	7	0	Instruction

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Previously Approved
Annual Number of Responses	7	7
Annual Time Burden (Hours)	7	7
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: