Financial assistance recipients under several programs administered by the Treasury Department's Office of Capital Access will complete the SF-428 form. These include the State and Local Fiscal Recovery Fund, Homeowner Assistance Fund and Emergency Rental Assistance programs.
Standard Form 428, Annual Report and Instructions-A
Form and Instruction
SF-428-C
Standard Form 428-C- Disposition Request Form and Instructions-C
Form and Instruction
SF-428
Tangible Personal Property Report and Instructions
Form and Instruction
SF 428-B
Standard Form 428-B- Final Report and Instructions-B
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
31,000
0
0
31,000
0
0
Annual Time Burden (Hours)
31,000
0
0
31,000
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Yes
Miscellaneous Actions
No
There is an increase in burden due to new programs using this form that were created by the American Rescue Plan Act in response to the Covid-19 pandemic.