SF-270: Request for Advance or Reimbursement 4040-0012

ICR 202503-4040-001

OMB: 4040-0012

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
218370 Unchanged
ICR Details
4040-0012 202503-4040-001
Received in OIRA 202108-4040-001
EGOV
SF-270: Request for Advance or Reimbursement 4040-0012
Extension without change of a currently approved collection   Yes
Regular 05/15/2025
  Requested Previously Approved
36 Months From Approved 05/31/2025
100,000 100,000
100,000 100,000
0 0

The SF-270 Request for Advance or Reimbursement is a federal form used by grant awardees to request funds either in advance or as reimbursement for project expenses. This IC expires on January 31, 2025. Grants.gov seeks a three-year clearance of these collections.

EO: EO 11541
   US Code: 41 USC 405
   US Code: 31 USC 503 and 1111
  
None

Not associated with rulemaking

  89 FR 93613 11/27/2024
90 FR 20481 05/14/2025
No

1
IC Title Form No. Form Name
4040-0012 SF-270 Request for Advance or Reimbursement Form 4040-0012 SF-270 Request for Advance or Reimbursement Form

  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 100,000 100,000 0 0 0 0
Annual Time Burden (Hours) 100,000 100,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$3,900,000
No
    No
    No
No
No
No
No
Sagal Musa 202 205-2634 sagal.musa@hhs.gov

  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.
 
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/15/2025


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