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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
4040-0007
ICR Reference No:
201509-4040-001
Status:
Historical Active
Previous ICR Reference No:
201103-4040-002
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
SF-424B Assurances -- Non-construction Programs 4040-0007
Type of Information Collection:
Reinstatement without change of a previously approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/15/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/29/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2019
36 Months From Approved
06/30/2014
Responses
40,000
0
33,839
Time Burden (Hours)
20,000
0
16,925
Cost Burden (Dollars)
0
0
0
Abstract:
Applicants use the SF-424B to provide information on required assurances when applying for Federal financial assistance under non-construction grant programs. This is a common form.
Authorizing Statute(s):
PL:
Pub.L. 109 - 282 2590
Name of Law: Federal Funding Accountability and Transparency Act of 2006
PL:
Pub.L. 106 - 107 468
Name of Law: Federal Financial Assistance Management Improvement Act of 1999
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 65966
11/11/2014
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 7596
02/11/2015
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
CNCS burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
Commerce burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
DHS burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
DOD burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
DOI burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
DOL burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
DOT burden for SF-424B Assurances -- Non-construction Programs
EPA burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
HHS burden for SF-424B Assurances -- Non-construction Programs
4040-0007
4040-0007 Assurances - Non-Construction Programs
NIST burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
NRC burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
SBA burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
SSA burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
Treasury burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
USAID burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
USDA burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
USDOJ burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
VA burden for SF-424B Assurances -- Non-construction Programs
4040-0007
SF-424B
ICR Summary of Burden
Total Approved
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
40,000
33,839
0
-6,521
0
12,682
Annual Time Burden (Hours)
20,000
16,925
0
-3,266
0
6,341
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The SF-424B Assurances for non-Construction 4040-0007 is now classified as a Common Form. Reported burden is for HHS only. Other Federal agencies are responsible for request of use for IC and reporting of burden hours.
Annual Cost to Federal Government:
$519,999
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Ed Calimag 202 690-7569 Ed.Calimag@hhs.gov
Common Form ICR:
Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.
Description/Changes for Common Form Usage:
This form is used by all Federal agencies. Burden reported in this ICR is reported for HHS only. All Federal agencies are required to report their own burden hours for this IC.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
DOD/DODDEP
201802-0704-003CF
SF-424B Assurances -- Non-construction Programs 4040-007
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/BLM
201606-1004-006CF
BLM - 424B, Assurances for Non-Construction Common Form Usage
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS
201702-0579-013CF
Assurances for Non-construction Program (4040-0007)
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OSMRE
201605-1029-003CF
Request to use 424B - Assurances for Non-Construction form for OSMRE
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/AMS
201610-0581-014CF
SF 424B - Assurances Non-Construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
201702-0575-018CF
SF-424B Assurances - Non Construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/NPS
201609-1024-006CF
SF-424B - Assurances for Non-Construction common form usage for NPS.
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOL/DM
201611-1225-011CF
SF-424B Assurances -- Non-construction Programs 4040-0007
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS
201612-0570-022CF
Assurances - Non-Construction Programs - SF-424B
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
201607-0575-009CF
SF-424B Assurances - Non Construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS
201612-0570-017CF
SF - 424B Assurances - Non-Construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
201701-0572-019CF
Assurances - Non-Construction Programs SF424B
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS
201605-0570-010CF
SF-424B - Assurances for Non Construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
201701-0572-022CF
Assurances - Non-Construction Programs SF-424B
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FNS
201706-0584-014CF
SF-424B Assurances for Non-Construction Programs (FNS)
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS
201704-0579-025CF
Non-Construction Program
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOC/NTIA
201709-0660-010CF
Assurances for Non-Construction Programs (SF-424B) for 911 Grant Program
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
201707-0572-027CF
SF-424B - Assurances Non-construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
201710-0572-034CF
Assurances - Non-construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOT/FMCSA
201809-2126-004CF
SF-424B Assurances Non-Construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/FWS
201807-1018-008CF
SF-424B - Assurances for Non-Construction common form usage for USFWS
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FS
201802-0596-011CF
Assurances for Non-Construction Programs (SF-424B)
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS
201802-0570-040CF
SF-424B, Assurances - Non-Construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/GS
201807-1028-001CF
SF-424B - Assurances for Non-Construction common form usage for USGS
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OSMRE
201807-1029-001CF
SF-424B - Assurances for Non-Construction common form usage for OSMRE
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OS
201807-1093-001CF
SF-424B - Assurances for Non-Construction common form usage for OS/PMB
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/NPS
201807-1024-001CF
SF-424B - Assurances for Non-Construction common form usage for NPS
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
201810-0575-003CF
SF-424B Assurances – Nonconstruction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/RB
201807-1006-001CF
SF-424B - Assurances for Non-Construction common form usage for BOR
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/ONRR
201807-1012-001CF
SF-424B - Assurances for Non-Construction common form usage for ONRR
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/BLM
201807-1004-001CF
SF-424B - Assurances for Non-Construction common form usage for BLM
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
201804-0572-044CF
Assurances Non-Construction Programs, SF-424B
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
TREAS/DO
201811-1505-002CF
Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program.
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS
201807-0579-031CF
Assurances - Non-constructions programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
201804-0575-026CF
SF-424B Assurances -- Non-Construction Programs
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/ONRR
201604-1012-004CF
Request to use 424B - Assurance for Non-Construction form for ONRR.
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/29/2015
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