View Information Collection Request (ICR) Package
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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:
4040-0010
ICR Reference No:
201307-4040-008
Status:
Historical Active
Previous ICR Reference No:
200906-4040-009
Agency/Subagency:
EGOV
Agency Tracking No:
15380
Title:
SF-424 Project/Performance Site Location(s) Form
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/10/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/31/2013
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2016
36 Months From Approved
Responses
137,818
0
0
Time Burden (Hours)
68,909
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
In compliance with section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Electronic Government Office (EGOV), Department of Health and Human Services, has submitted an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB) for review and approval. The ICR is for reinstatement of a previously-approved information collection assigned OMB control number 4040-0010, which expired on August 31, 2011. The ICR also requests categorizing the form as a common form, meaning HHS will only request approval for its own use of the form rather than aggregating the burden estimate across all Federal Agencies as was done for previous actions on this OMB control number. The SF-424 Project Abstract form and the SF-424 Key Contacts form were previously assigned to OMB control number 4040-0003. EGOV seeks to move these two instruments to the OMB control number 4040-0010. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public on this ICR during the review and approval period.
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:
78 FR 14552
03/06/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 42945
07/18/2013
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
DHS Burden Estimate for SF-424 Silte Location Form
4040-NEW
SF-424 Site Location
DOD burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
DOE Burden Estimate for SF-424 Silte Location Form
4040-NEW
SF-424 Site Location
DOI burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site location
DOJ burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
DOT burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
ED burden estimate for SF-424 Site Location Form
4040-NEW
SF-424 Site Location
EPA burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
HHS Burden Estimate for 4040-0010
4040-0010, 4040-0010, 4040-0010
Key Contacts
,
Project/Performance Site Location
,
Project Abstract
HUD burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
IMLS burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
NARA burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
NASA burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
NEA burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
NEH burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
NSF burden estimate for SF-424 Site Location Form
4040-NEW
SF-424 Site Location
SSA burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
USAID burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
USDA burden estimate for SF-424 Site Location
4040-NEW
SF-424 Site Location
VA burden estimate for SF-424 Site Location Form
4040-NEW
SF-424 Site Location
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
137,818
0
0
-219,762
0
357,580
Annual Time Burden (Hours)
68,909
0
0
-11,648
0
80,557
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:
This is a request for reinstatement of a previously-approved collection, which expired on March 31, 2012, with a three-year clearance. This request also changes the information collection to a common forms host, so the burden estimate only reflects the burden of the host agency, HHS.
Annual Cost to Federal Government:
$736,637
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]?
Yes
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)?
Yes
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 is a request to change this information collection to a host for Common Forms. As a result, it only reflects the burden for the host agency, HHS.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
DOL/DM
201404-1225-006CF
DOL burden estimate for SF-424 Site Location
Historical Active
HHS Burden Estimate for 4040-0010
USDA/NIFA
201404-0524-053CF
SF 424 Project/Performance Site Location(s) Form
Historical Active
USDA burden estimate for SF-424 Site Location
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:
07/31/2013
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