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OMB Control No: 1505-0260	ICR Reference No: 202606-1505-005
Status: Received in OIRA	Previous ICR Reference No: 202308-1505-001
Agency/Subagency: TREAS/DO	Agency Tracking No:
Title: Application, Reports, and Recordkeeping for the Social Impact Partnerships to Pay for Results Act (SIPPRA) Grant Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/06/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2026
Responses	55	45
Time Burden (Hours)	7,860	7,660
Cost Burden (Dollars)	0	6,100,000

Abstract: Authorized under the Bipartisan Budget Act of 2018, the Social Impact Partnerships to Pay for Results Act (SIPPRA or Act), amends Title XX of the Social Security Act, 42 U.S.C. 1397 et seq., to provide $100 million in funding to implement “Social Impact Partnership Demonstration Projects” (projects) and feasibility studies to assist states and local governments in applying for project funding. SIPPRA authorizes the Secretary of the Treasury (Secretary) to enter into award agreements with state or local governments for projects addressing entrenched social problems. SIPPRA requires the Department of the Treasury (Treasury) to conduct a request for proposals for projects, make award decisions, and enter into project award agreements. Treasury is publishing a Notice of Funding Availability (NOFA) seeking applications for projects, and anticipates that ten or more persons will respond to its notice announcing availability of funding for SIPPRA projects. Although Treasury is asking applicants to use the SF-424 family of common forms for their applications, in order to effectively and efficient assess and evaluate applications and ensure that projects comply with statutory requirements, Treasury is also soliciting additional detailed information from applicants. This request only includes the burden for this additional information. The burden for the SF-424 forms is covered under OMB Control Numbers 4040-0004, 4040-0006, 4040-0007, 4040-0008, 4040-0009, 4040-0010 and 4040-0013. The additional information includes the following components: • Project Narrative, to include an Executive Summary; • Project Narrative Attachments, to include project budget, partnership agreements, partner qualifications, independent evaluator qualifications, evaluation design plan, independent evaluator contract, outcome valuation), legal compliance, and (optional) additional supporting documentation such as a preexisting feasibility study; o The evaluation design plan is discussed further below • Unique Entity Identifier (UEI) and SAM registration; • Copy of application proposing privileged or confidential information to be redacted; • Treasury Office of Civil Rights and Diversity Assurances and Certifications • Administrative Reporting, including Performance and Financial Report, Evaluation Progress Reports, and Final Evaluation Report; • Records Retention

Authorizing Statute(s): US Code: 42 USC 1397 Name of Law: Bipartisan Budget Act of 2018

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:
	91 FR 11599	03/10/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 39718	06/30/2026
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Application - Project Narrative & Attachments
Evaluation Progress Report
Quarterly Performance Report

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	55	45	10
Annual Time Burden (Hours)	7,860	7,660	200
Annual Cost Burden (Dollars)	0	6,100,000	-6,100,000

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: Treasury has updated estimates based on experience from the first two rounds of SIPPRA funding and the revised scope of this third NOFA.

Annual Cost to Federal Government: $2,000,000

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: Matthew Cook 202 821-5030 matthew.cook@treasury.gov

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