View RCF - OIRA Conclusion

Title: SF-424 D, "Assurances – Non Construction Programs"

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/20/2021
Terms of Clearance:

Description of Agency Usage: This form must be completed by the applicant to provide the Federal government certain assurances of the applicant's legal authority to apply for Federal assistance and financial capability to pay the non-Federal share of project costs. The applicant also assures compliance with various legal and regulatory requirements as described in the form. (0572-0136)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 kimble.brown@wdc.usda.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS burden for SF-424D Assurances -- Construction Programs		60	30	0	Form and Instruction	4040-0009	Assurances - Construction Programs

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	60	60
Annual Time Burden (Hours)	30	30
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: This is a request to use the common form resulting in the use of 30 burden hours.