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:
4040-0011
ICR Reference No:
201508-4040-013
Status:
Historical Active
Previous ICR Reference No:
201307-4040-001
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
SF-271: Outlay Report and Request for Reimbursement for Construction Programs 4040-0011
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 with change
Conclusion Date:
01/15/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/13/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2019
36 Months From Approved
10/31/2013
Responses
40,000
0
40,000
Time Burden (Hours)
40,000
0
40,000
Cost Burden (Dollars)
0
0
0
Abstract:
Grantees use this form to request reimbursement for all construction programs.
Authorizing Statute(s):
US Code:
41 USC 405
EO: EO 11541
US Code:
31 USC 503 and 1111
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:
79 FR 65962
11/06/2014
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 7598
02/11/2015
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
SF-271: Outlay Report and Request for Reimbursement for Construction Programs
4040-0011
SF-271 Outlay Report and Request for Reimbursement for 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
40,000
40,000
0
0
0
0
Annual Time Burden (Hours)
40,000
40,000
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:
$425,271
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]?
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:
Recipients of financial assistance from any Federal grant-making agency use this form to request reimbursement for all construction programs.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
USDA/FS
201802-0596-009CF
SF-271 OUTLAY REPORT AND REQUEST FOR REIMBURSEMENT FOR CONSTRUCTION PROGRAMS
Historical Active
SF-271: Outlay Report and Request for Reimbursement for Construction Programs
USDA/RBS
201802-0570-046CF
SF-271, “Outlay and Request for Reimbursement for Construction Programs”
Historical Active
SF-271: Outlay Report and Request for Reimbursement for Construction Programs
USDA/RBS
201802-0570-037CF
SF-271, “Outlay Report and request for Reimbursement for Construction Projects”
Historical Active
SF-271: Outlay Report and Request for Reimbursement for Construction Programs
USDA/RBS
201708-0570-034CF
SF-271 Outlay Report and request for Reimbursement for Construction Projects
Historical Active
SF-271: Outlay Report and Request for Reimbursement for 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:
10/13/2015
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