SF-424 Mandatory (M) 4040-0002

Forms and Documents

Document Name	Status
Form 4040-0002 DOL burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
Form 4040-0002 USAID burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
Form 4040-0002 USDA burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
Form 4040-0002 NEA burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
Form 4040-0002 DOT burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
OMB comments on Grants.gov Standard forms - GrantsGov Response v2.xlsx Supplementary Document	2016-01-14
4040-0002 SF-424_Mandatory_SS_FINAL 2015 v1.4.doc Supporting Statement A	2016-01-14

IC Document Collections

IC ID	Document Title	Status
35961	DOL burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
196420	DOD burden estimate for the SF-424 Mandatory (M) Other-applicaiton	Removed
196419	DOI burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196418	VA burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196417	USDOJ burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196416	USDA burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196415	USAID burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
196414	Dept of State burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196413	SSA burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196412	SBA burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196411	NIST burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196410	DHS burden estimate for the SF-424 Mandatory (M) Other-application	Removed
196409	HHS burden estimate for the SF-424 Mandatory (M) Other-form	Modified
185145	USDA burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
185144	NEA burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed
185142	DOT burden estimate for the SF-424 Mandatory (M) Form and Instruction	Removed

ICR Details

OMB Control No: 4040-0002	ICR Reference No: 201505-4040-002
Status: Historical Active	Previous ICR Reference No: 201102-4040-001
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-424 Mandatory (M) 4040-0002
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/15/2016
	Date Received in OIRA: 09/16/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved	05/31/2014
Responses	8,388	0	126,770
Time Burden (Hours)	8,388	0	126,770
Cost Burden (Dollars)	0	0	0

---

Abstract: The SF-424(M) is the government-wide data set for grant applications/plans and related submissions under mandatory grant programs. Federal agencies and grant applicants will use the standard data set and definitions for paper and electronic grants applicatons/plans and related submissions under mandatory grant programs. The proposed standard data set replaces numerous agency data sets and reduces the administrative burden placed on the grants community, Federal agencies will not be required to collect all of the information included in the proposed data set.

---

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 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:
	79 FR 65964	11/06/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 7604	02/11/2015
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
USDA burden estimate for the SF-424 Mandatory (M)	4040-0002	SF-424 Mandatory
DOT burden estimate for the SF-424 Mandatory (M)	4040-0002	SF-424 Mandatory
NEA burden estimate for the SF-424 Mandatory (M)	4040-0002	SF-424 Mandatory
DHS burden estimate for the SF-424 Mandatory (M)
NIST burden estimate for the SF-424 Mandatory (M)
SBA burden estimate for the SF-424 Mandatory (M)
SSA burden estimate for the SF-424 Mandatory (M)
Dept of State burden estimate for the SF-424 Mandatory (M)
USAID burden estimate for the SF-424 Mandatory (M)	4040-0002	SF-424 Mandatory
USDA burden estimate for the SF-424 Mandatory (M)
USDOJ burden estimate for the SF-424 Mandatory (M)
VA burden estimate for the SF-424 Mandatory (M)
DOI burden estimate for the SF-424 Mandatory (M)
HHS burden estimate for the SF-424 Mandatory (M)
DOD burden estimate for the SF-424 Mandatory (M)
DOL burden estimate for the SF-424 Mandatory (M)	4040-0002	SF-424 Mandatory

---

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	8,388	126,770	0	-126,196	0	7,814
Annual Time Burden (Hours)	8,388	126,770	0	-126,196	0	7,814
Annual Cost Burden (Dollars)	0	0	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This form has been categorized as a common form. All Federal agencies using this form with the exception of HHS are required to report their own burden hours.

---

Annual Cost to Federal Government: $425,271

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

---

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:  The SF-424(M) is the government-wide data set for grant applications/plans and related submissions under mandatory grant programs. Federal agencies and grant applicants will use the standard data set and definitions for paper and electronic grants applicatons/plans and related submissions under mandatory grant programs. The proposed standard data set replaces numerous agency data sets and reduces the administrative burden placed on the grants community, Federal agencies will not be required to collect all of the information included in the proposed data set.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
DOI/OSMRE	201605-1029-001CF	Request to use SF-424 Mandatory for OSMRE	Historical Active	HHS burden estimate for the SF-424 Mandatory (M)
DOI/OSMRE	201605-1029-002CF	Request to use SF-424 Mandatory - Private Sector for OSMRE	Historical Active	HHS burden estimate for the SF-424 Mandatory (M)
DOL/DM	201611-1225-009CF	DOL burden estimate for the SF-424	Historical Active	HHS burden estimate for the SF-424 Mandatory (M)
DOI/GS	201603-1028-003CF	SF-424 Mandatory form USGS usage	Historical Active	HHS burden estimate for the SF-424 Mandatory (M)
USDA/FS	201802-0596-004CF	APPLICATION FOR FEDERAL ASSISTANCE SF-424 - MANDATORY	Historical Active	HHS burden estimate for the SF-424 Mandatory (M)
DOI/ONRR	201604-1012-001CF	Request for SF-424 Mandatory usage for ONRR	Historical Active	HHS burden estimate for the SF-424 Mandatory (M)
DOI/BLM	201606-1004-004CF	BLM 424-Mandatory Common Form Usage	Historical Active	HHS burden estimate for the SF-424 Mandatory (M), HHS burden estimate for the SF-424 Mandatory (M)

---

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: 09/16/2015

---