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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:
4040-0009
ICR Reference No:
202112-4040-002
Status:
Active
Previous ICR Reference No:
201810-4040-008
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
SF-424D - Assurances for Construction Programs 4040-0009
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
353
0
353
Time Burden (Hours)
177
0
177
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. 106 - 107 468
Name of Law: Federal Financial Assistance Management Improvement Act of 1999
PL:
Pub.L. 109 - 282 2590
Name of Law: Federal Funding Accountability and Transparency Act of 2006
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 57680
12/17/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 2618
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
HHS burden for SF-424D Assurances -- Construction Programs
4040-0009
Assurances - Construction Programs
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
353
0
0
0
0
Annual Time Burden (Hours)
177
177
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:
$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?
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
USDA/RBS
202212-0570-003CF
SF 424-D, “Assurances for Construction Programs”
Active
HHS burden for SF-424D Assurances -- Construction Programs
DOC/NTIA
202203-0660-005CF
Assurances (SF-424D) for NTIA Broadband Programs (Construction)
Historical Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202205-0570-019CF
SF424D - Assurances for Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202203-0570-003CF
SF-424D, Assurances - Construction Programs (4040-0009)
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/FNS
202202-0584-005CF
Assurances - Construction Programs (SF-424D)
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RUS
202202-0572-020CF
SF-424D Assurances-Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202202-0570-030CF
SF-424D, “Assurances – Construction Programs”.
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202202-0570-028CF
Assurances – Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202202-0570-027CF
SF 424D - Assurances - Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
DOI/FWS
202202-1018-006CF
USFWS Usage of Form SF-424D (State/Local/Tribal Government)
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202202-0570-029CF
SF424D Assurances - Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RUS
202202-0572-021CF
SF-424D- Assurances-Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
DOI/FWS
202202-1018-007CF
USFWS Usage of Form SF-424D (Private Sector)
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/FS
202202-0596-004CF
Assurances - Construction Program (SF-424D)
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RUS
202202-0572-019CF
SF-424 D, "Assurances – Non Construction Programs"
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202205-0570-006CF
SF 424D - Assurances for Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202207-0570-004CF
SF 424D - Assurances - Construction Program
Active
HHS burden for SF-424D Assurances -- Construction Programs
USDA/RBS
202205-0570-003CF
Assurances - Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
EPA/OMS
202404-2030-005CF
SF-424D Assurances for Construction Programs
Active
HHS burden for SF-424D Assurances -- Construction Programs
VA
202311-2900-004CF
SF 424-D, “Assurances for Construction Programs”
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:
01/24/2022
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