2024SSQuestionnarie-NHPRC_0072_FINAL_

Supporting Statement
Grant Recipient’s Accounting System and Financial Capability Questionnaire
NA Form 17003
OMB Control No. 3095-0072
1. Circumstances making the collection of information necessary. Pursuant to the updated
Title 2, Code of Federal Regulations, Office and Management Guidance for Grants and
Agreements grant recipients are required to maintain adequate accounting controls and systems
in managing and administering Federal funds. Some of the recipients of grants from the
National Historical Publications and Records Commission (NHPRC) have proven to have
limited experience with managing Federal funds. This questionnaire is designed to identify
those potential recipients and provide appropriate training or additional safeguards for Federal
funds. Additionally, the questionnaire serves as a pre-audit function in identifying potential
deficiencies and minimizing the risk of fraud, waste, abuse, or mismanagement, which we use in
lieu of a more costly and time-consuming formal pre-award audit.
2. Purpose and use of the information. NARA’s Office of the Inspector General conducted an
audit of the NHPRC and recommended the addition of this questionnaire as a method to
improve its financial monitoring of grantees. This questionnaire will assist in determining those
applicants requiring special attention in matters relating to the accountability of Federal funds.
This is a one-time questionnaire and assists the NHPRC in pre-screening applicants to avoid
high-risk situations and protect Federal funds.
3. Use of information technology and burden reduction. Once members of the Commission
recommend an application for funding, the questionnaire can be emailed or faxed to NHPRC
staff.
4. Efforts to identify duplication and use of similar information. There is no duplication.
5. Impact on small business or other small entities. The information does not impact small
businesses and other entities.
6. Consequences of collecting the information less frequently. Once the form is approved, the
information will be collected once from each successful grant applicant to the NHPRC. If the
information was not collected, the government could risk funding applicants with inadequate
accounting and financial management systems.
7. Special circumstances relating to the guidelines of 5 CFR 1320.5. The collection will be
conducted in a manner consistent with the guidelines in 5 CFR 1320.
8. Comments in response to the Federal Register Notice and efforts to consult outside agency.
NARA provided the public an opportunity to comment on the information collection in a
Federal Register published on May 13, 2024 (89 FR 41476). No comments were received.
9. Explanation of any payment or gift to respondents. No gifts or payments are made to
respondents for completing this questionnaire.
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10. Assurance of confidentiality provided to respondents. The collection of information, which
would require privacy or confidentiality, is not planned.
11. Justification for sensitive questions. There are no questions of a sensitive nature contained in
the questionnaire.
12. Estimate of hour burden including annualized hourly costs. Estimated burden hours: 75
respondents per year, @4 hours per respondent for a total annual burden of 300 hours. These
respondents are requested to submit the questionnaire only once when the Commission has
recommended a grant to an organization but before it is awarded the official award. Seventyfive respondents based upon a cost of 4 hours staff time @ $20.00 per hour totals $6,000. This
estimate is based upon respondents providing information on the questionnaire from already
established accounting records.
13. Estimate of other total annual cost burden to respondents or recordkeepers. There is no
annual cost to respondents apart from that enumerated in Item 12.
14. Annualized cost to the Federal government. Estimated annualized cost to the Federal
government is $1,500, based on one hour of review time at $20.00 per hour.
15. Explanation for program changes or adjustments. There are no changes.
16. Plans for tabulation and publication and project time schedule. The information collected
from the questionnaire will not be published.
17. Reason(s) display of OMB expiration date is inappropriate. The expiration date for OMB
approval of this information collection will be displayed on the questionnaire.
18. Exceptions to certification for Paperwork Reduction Act submissions. There are no
exceptions to the certification statement identified in Item 19 of OMB Form 83-I “Certification
for Paperwork Reduction Submissions.”

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