Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
4040-0009
ICR Reference No:
201810-4040-008
Status:
Historical Active
Previous ICR Reference No:
201103-4040-004
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
SF-424D - Assurances for Construction Programs 4040-0009
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 without change
Conclusion Date:
02/22/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/10/2018
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2022
36 Months From Approved
06/30/2014
Responses
353
0
5,140
Time Burden (Hours)
177
0
2,574
Cost Burden (Dollars)
0
0
0
Abstract:
Applicants use the SF-424D form to provide information on required assurances when applying for Federal financial assistance under construction grant programs.
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:
83 FR 19069
05/01/2018
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 44636
08/31/2018
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
Commerce burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
DHS burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
DOD burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
DOI burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
DOT burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
HHS burden for SF-424D Assurances -- Construction Programs
4040-0009
Assurances - Construction Programs
NIST burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
SBA burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
USAID burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
USDA burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
VA burden for SF-424D Assurances -- Construction Programs
4040-0009
SF-424D
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
353
5,140
0
-4,787
0
0
Annual Time Burden (Hours)
177
2,574
0
-2,397
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The requested number of Burden Hours has decreased to 177 hours from 2,574 hours as a result of a decrease in the number of responses since the last ICR.
Annual Cost to Federal Government:
$6,903
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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 multiple agencies in grant applications.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
USDA/RUS
202105-0572-012CF
SF-424 D, "Assurances – Non Construction Programs"
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202010-0570-003CF
Assurances – Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
DOI/FWS
202101-1018-002CF
USFWS Usage of Form SF-424D (State/Local/Tribal Government)
Active
HHS burden for SF-424D Assurances -- Construction Programs
DOI/FWS
202101-1018-001CF
USFWS Usage of Form SF-424D (Private Sector)
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/FNS
202106-0584-006CF
Assurances - Construction Programs (SF-424D)
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202105-0570-009CF
SF424D Assurances - Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RUS
202108-0572-010CF
SF-424D Assurances-Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202110-0570-005CF
SF-424D, “Assurances – Construction Programs”.
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RUS
202108-0572-005CF
SF-424D- Assurances-Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202003-0570-004CF
SF 424D - Assurances - Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/FS
201802-0596-018CF
Assurances - Construction Program (SF-424D)
Active
HHS burden for SF-424D Assurances -- 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:
12/10/2018
An official website of the United States government
The .gov means it's official.
The site is secure.
