View Information Collection Request (ICR) Package
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Burden
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Common Form Info.
Certification
View Information Collection (IC) List
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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:
4040-0018
ICR Reference No:
202108-4040-002
Status:
Historical Active
Previous ICR Reference No:
202006-4040-001
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
Tangible Personal Property Report; Standard Forms 428, 428(a), 428(b), 428(C), and 428(S)
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:
11/15/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/02/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2024
36 Months From Approved
11/30/2021
Responses
2,000
0
2,000
Time Burden (Hours)
2,000
0
2,000
Cost Burden (Dollars)
0
0
60,000
Abstract:
The Tangible Personal Property Report (SF-428) is a standard form designed to assist recipients when they are required to provide a Federal agency with information related to federally owned property, or equipment and supplies (tangible personal property) acquired with federal assistance award funds. The information collected is used by the awarding agencies to determine appropriate disposition for federally owned property and equipment and supplies acquired with grant funds when the federal government has retained an interest in the property. For example, upon completion of an award, a recipient must report federally owned property to the awarding agency for further agency reutilization.
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 Financial 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 17845
04/06/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 49038
09/01/2021
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
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
SF-428, SF-428-A, SF 428-B, SF-428-C
Standard Form 428, Annual Report and Instructions-A
,
Standard Form 428-C- Disposition Request Form and Instructions-C
,
Tangible Personal Property Report and Instructions
,
Standard Form 428-B- Final Report and Instructions-B
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
2,000
2,000
0
0
0
0
Annual Time Burden (Hours)
2,000
2,000
0
0
0
0
Annual Cost Burden (Dollars)
0
60,000
0
-60,000
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:
$78,000
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:
Sagal Musa 202 205-2634 sagal.musa@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
EAC
202204-3265-008CF
Request to use SF428,A,B,C for EAC Grant Compliance
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
USDA/AMS
202111-0581-001CF
Tangible Personal Property Final Report::
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
DOT/FAA
202111-2120-002CF
FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - Tangible Property Forms Request
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c), Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
DOT/FAA
202111-2120-001CF
FAA Aircraft Pilots Workforce Development Grant Program - Tangible Property Forms Request
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c), Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
USDA/FS
202111-0596-002CF
Tangible Personal Property Report and Instructions (SF-428, 428A, 428B, 428C, 428S)
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
EPA/OMS
202404-2030-008CF
SF-428 Tangible Personal Property; with 428A, 428B, 428C
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
TREAS/DO
202403-1505-001CF
Tangible Personal Property Report SF-428 used by Department of the Treasury
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
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:
09/02/2021
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