View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
4040-0012
ICR Reference No:
202108-4040-001
Status:
Historical Active
Previous ICR Reference No:
201509-4040-004
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
SF-270: Request for Advance or Reimbursement 4040-0012
Type of Information Collection:
Reinstatement without change of a previously approved collection
Common Form ICR:
Yes
Type of Review Request:
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/24/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/09/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2025
Responses
100,000
0
0
Time Burden (Hours)
100,000
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
Authorizing Statute(s):
EO: EO 11541
US Code:
41 USC 405
US Code:
31 USC 503 and 1111
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
4040-0012 SF-270 Request for Advance or Reimbursement Form
4040-0012
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
100,000
0
0
0
0
100,000
Annual Time Burden (Hours)
100,000
0
0
0
0
100,000
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:
$3,900,000
Does this IC contain surveys, censuses, or employ statistical methods?
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.
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.
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
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/RHS
202411-0575-005CF
Standard Form 270, "Request for Advance or Reimbursement"
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RBS
202208-0570-008CF
SF 270 - Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RBS
202306-0570-007CF
SF-270 “Request for Advance or Reimbursement”
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/FSA
202208-0560-004CF
Increasing Land, Capital, and Market Access Program
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/NRCS
202203-0578-006CF
Composting and Food Waste Reduction (CFWR) Cooperative Agreement Program
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RUS
202209-0572-005CF
SF-270 Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RBS
202205-0570-022CF
SF270 - Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
DOT/FRA
202412-2130-001CF
4040-0012 SF 270 Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/FSA
202402-0560-002CF
Farm Service Agency - Emergency Relief Program 2022 (ERP 2022) Cooperative Agreements
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RUS
202408-0572-003CF
SF 270, “Request for Advance or Reimbursement” (0572-0139)
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
EPA/OMS
202404-2030-006CF
SF-270 Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/FAS
202311-0551-004CF
SF-270 Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RBS
202209-0570-005CF
SF-270 Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
DOT/FHWA
202405-2125-007CF
Request for Advance or Reimbursement Form (SF-270)
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/NRCS
202203-0578-009CF
Composting and Food Waste Reduction (CFWR) Cooperative Agreement Program.
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RBS
202204-0570-003CF
Request for Advance or Reimbursement, SF 270
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
EAC
202403-3265-001CF
Request to Use Grants.gov SF-270 Form for HAV College Program
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RBS
202205-0570-008CF
SF 270- Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/FAS
202311-0551-008CF
SF-270 Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
TREAS/DO
202206-1505-001CF
Request for Advance or Reimbursement - Capital Projects Fund
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RBS
202201-0570-016CF
SF 270, ‘‘Request for Advance or Reimbursement,’’ OMB Docket No. 4040-0012.
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/FSA
202303-0560-001CF
Farm Labor Stabilization and Protection Pilot Grant Program
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/NRCS
202202-0578-002CF
Partnerships for Climate-Smart Commodities
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RBS
202209-0570-011CF
SF-270 Request for Advance or Reimbursement
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
USDA/RUS
202405-0572-021CF
SF 270 Request for Reimbursement (0572-0136)
Active
4040-0012 SF-270 Request for Advance or Reimbursement Form
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:
12/09/2021
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