View RCF - OIRA Conclusion

Title: Assurances - Construction Program (SF-424D)

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/18/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/12/2025
Terms of Clearance:

Description of Agency Usage: The agency will use this form to certify the recipient is aware of all assurances associated with construction programs (OMB 0596-0217).

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Amy Jewell 573 408-0636 amy.jewell@usda.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS burden for SF-424D Assurances -- Construction Programs		21	11	0	Form and Instruction	4040-0009	Assurances - Construction Programs

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	21	21
Annual Time Burden (Hours)	11	11
Annual Cost Burden (Dollars)	0	0

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: The agency is requesting to use the form, which will result in a program change of 11 burden hours.