Information Collection

Application for Authorization to Use 4-H Name and/or Emblem

IC 1048 under ICR 200901-0524-001 · OMB 0524-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0034 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CSREES-01 Application for Authorization to Use 4-H Name and/or Emblem	Form
CSREES-01 Application for Authorization to use the 4-H Name and/or 4-H NE Pre-auth PDF fill in 2 12 09 password protected.pdf	Form

IC Title:

Application for Authorization to Use 4-H Name and/or Emblem

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 8

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CSREES-01	Application for Authorization to use the 4-H Name and/or Emblem	4-H NE Pre-auth PDF fill in 2 12 09 password protected.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 40

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	0	60
Annual IC Time Burden (Hours)	30	-15	45
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.