202111-0575-005CF RCF OMB: 4040-0007
OMB.report
OMB 4040-0007
RCF 202111-0575-005CF
( RCF New )
Array
(
[refNbr] => 202111-0575-005CF
[obm] => 4040-0007
[icr] => 201810-4040-003
[status] => Received in OIRA
[agency] => USDA/RHS
[title] => SF 424B Assurances - Non Construction Programs
[typeRCF] => RCF New
[oiraAction] => View RCF focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent;
[oiraNOA] => View RCF focusMeth
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => 0575-0043
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202111-0575-005CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 02/28/2022
Agency/Subagency: USDA/RHSAgency Tracking No: 0575-0043
Host OMB Control No: 4040-0007Host ICR Reference No: 201810-4040-003
Title: SF 424B Assurances - Non Construction Programs
Description of Agency Usage:
Technical assistance grant applicants complete this form to certify their compliance with the applicable Federal requirements set forth in the form. These requirements include establishment of an accounting system in accordance with generally accepted accounting standards, agreements to comply with all Federal statutes relating to non-discrimination, safeguards to prohibit conflict of interest, and other similar requirements. (0575-0043)
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Kimble Brown 202 692-0042 kimble.brown@wdc.usda.gov
Common Form Information Collections (IC) in this RCF:
Total Request
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
70
0
0
70
0
0
Annual Time Burden (Hours)
35
0
0
35
0
0
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:
No
Burden Reduction Due to:
Short Statement:
RHS is requesting to utilize this common form resulting in an additional 70 responses and 35 hours.