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View Information Collection (IC) List
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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:
202111-4040-002
Status:
Active
Previous ICR Reference No:
201810-4040-003
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
SF-424B Assurances -- Non-construction Programs 4040-0007
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/25/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/24/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2025
36 Months From Approved
02/28/2022
Responses
9,772
0
9,772
Time Burden (Hours)
4,886
0
4,886
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:
86 FR 53333
11/26/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 2617
01/18/2022
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
Assurances for Non-Construction Programs (SF-424B)
4040-0007
Assurances for Non-Construction Programs (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
9,772
9,772
0
0
0
0
Annual Time Burden (Hours)
4,886
4,886
0
0
0
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:
Annual Cost to Federal Government:
$95,277
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?
No
Agency Contact:
Joseph Raborn 202 870-2037 joseph.raborn@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:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
DOC/NTIA
202203-0660-003CF
Assurances (SF-424B) for NTIA Broadband Grant Programs (Non-Construction)
Historical Active
Assurances for Non-Construction Programs (SF-424B)
DOC/NTIA
202202-0660-005CF
Assurances for Non-Construction Programs (SF-424B) for 911 Grant Program
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OSMRE
202202-1029-007CF
SF-424B - Assurances for Non-Construction common form usage for OSMRE
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/ONRR
202202-1012-003CF
Request to use 424B - Assurance for Non-Construction form for ONRR.
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FNS
202202-0584-010CF
Assurances for Non-Construction Programs (SF-424B)
Active
Assurances for Non-Construction Programs (SF-424B)
TREAS/DO
202202-1505-003CF
Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program.
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/FAS
202202-0551-003CF
Assurances for Non-Construction Programs
Active
Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)
DOI/BLM
202202-1004-007CF
SF-424B - Assurances for Non-Construction common form usage for BLM
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
ED/OM
202202-1880-003CF
SF-424B Assurances -- Non-construction Programs 4040-0007
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/NRCS
202202-0578-008CF
Partnerships for Climate-Smart Commodities
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/RBS
202202-0570-054CF
SF-424B Assurances—Non-Construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/RHS
202202-0575-024CF
SF 424B Assurances - Non Construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
DOI/FWS
202202-1018-010CF
SF-424B - Assurances for Non-Construction common form usage for USFWS
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOT/FMCSA
202202-2126-004CF
SF-424B Assurances Non-Construction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS
202202-0570-052CF
SF-424B, Assurances - Non-Construction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/OS
202202-1093-001CF
SF-424B - Assurances for Non-Construction common form usage for OS/PMB
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/RB
202202-1006-002CF
SF-424B - Assurances for Non-Construction common form usage for BOR
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-037CF
Assurances - Non-Construction Programs SF-424B
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-041CF
SF- 424B, Assurances--Non-construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/APHIS
202202-0579-010CF
Assurances - Non-constructions programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
NRC
202202-3150-003CF
Assurances for Non-Construction Programs (SF-424B)
Active
Assurances for Non-Construction Programs (SF-424B)
DOI/OSMRE
202202-1029-006CF
Request to use 424B - Assurances for Non-Construction form for OSMRE
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
202202-0575-020CF
SF-424B Assurances - Non Construction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
202202-0575-019CF
SF-424B Assurances - Non Construction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/NPS
202202-1024-006CF
SF-424B - Assurances for Non-Construction common form usage for NPS
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS
202202-0579-008CF
Assurances for Non-construction Program (4040-0007)
Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/ONRR
202202-1012-004CF
SF-424B - Assurances for Non-Construction common form usage for ONRR
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOT/FAA
202202-2120-014CF
FAA Aircraft Pilots Workforce Development Grant Program - SF424B Assurances Forms Request
Active
Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)
USDA/RBS
202202-0570-049CF
Assurances - Non-Construction Programs - SF-424B
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-045CF
Form SF-424B, “Assurances--Non-construction Programs”
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/RUS
202202-0572-043CF
SF 424B Assurances--Non-construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
FFIEC
202202-3139-002CF
Assurances for Non-construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/RBS
202202-0570-051CF
SF-424B - Assurances for Non Construction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
202202-0575-023CF
SF 424B Assurances – Non-Construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/RBS
202202-0570-055CF
Form SF-424B, Assurances for Non-Construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/FNS
202202-0584-009CF
SF-424B Assurances for Non-Construction Programs (FNS)
Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-039CF
Assurances - Non-construction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-040CF
Assurances Non-Construction Programs, SF-424B
Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/BLM
202202-1004-006CF
BLM - 424B, Assurances for Non-Construction Common Form Usage
Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-036CF
Assurances - Non-Construction Programs SF424B
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
DOI/NPS
202202-1024-005CF
SF-424B - Assurances for Non-Construction common form usage for NPS.
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-038CF
SF-424B - Assurances Non-construction Programs
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
DOI/GS
202202-1028-001CF
SF-424B - Assurances for Non-Construction common form usage for USGS
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
202202-0575-022CF
SF-424B Assurances -- Non-Construction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-044CF
SF 424B -Assurances--Non-construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/AMS
202202-0581-007CF
SF 424B - Assurances Non-Construction Programs
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/RBS
202202-0570-056CF
SF-424B, “Assurances – Non-Construction Programs”.
Active
Assurances for Non-Construction Programs (SF-424B)
DOL/DM
202202-1225-004CF
SF-424B Assurances -- Non-construction Programs 4040-0007
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RHS
202202-0575-021CF
SF-424B Assurances – Nonconstruction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RUS
202202-0572-042CF
SF-424 B, “Assurances- Non-Construction Programs”
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/FS
202202-0596-007CF
Assurances for Non-Construction Programs (SF-424B)
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS
202202-0570-053CF
Standard Form 424 B
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/FSA
202202-0560-005CF
SF-424B Assurances Non-Construction
Active
Assurances for Non-Construction Programs (SF-424B)
DOD/DODDEP
202202-0704-002CF
SF-424B Assurances -- Non-construction Programs 4040-007
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/RBS
202202-0570-050CF
SF - 424B Assurances - Non-Construction Programs
Active
HHS burden for SF-424B Assurances -- Non-construction Programs, HHS burden for SF-424B Assurances -- Non-construction Programs
DOT/FAA
202202-2120-013CF
FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - 424B Forms Request
Active
Assurances for Non-Construction Programs (SF-424B), Assurances for Non-Construction Programs (SF-424B)
VA
202205-2900-004CF
SF-424B - Assurances - Non-Construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
USDA/RBS
202205-0570-013CF
SF 424B - Assurances - Non-Construction Programs
Active
Assurances for Non-Construction Programs (SF-424B)
ED/OM
202202-1880-004CF
SF-424B Assurances - Non-construction Programs 4040-0007
Historical Active
Assurances for Non-Construction Programs (SF-424B)
USDA/APHIS
202202-0579-009CF
Non-Construction Program
Historical Active
HHS burden for SF-424B Assurances -- Non-construction Programs
USDA/APHIS
202404-0579-006CF
Non-Construction Program
Active
HHS burden for SF-424B Assurances -- Non-construction Programs
VA
202311-2900-008CF
SF 424-B, “Assurances for Non-Construction Programs”
Active
Assurances for Non-Construction Programs (SF-424B)
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:
01/24/2022
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