SSA SF-424 Burden Collection

SF-424 Discretionary

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0004 can be found here:

Documents and Forms

Document Name Document Type
Form 4040-0004 SSA SF-424 Burden Collection Form
Instructions for SF424_Rev2.doc Instruction
4040-0004 SF-424 SF424 mock-up_Rev2.doc Form

Information Collection (IC) Details

IC Title:	SSA SF-424 Burden Collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 2 CFR 215 2 CFR 220 2 CFR 225 2 CFR 230 5 CFR 1320.5(d)(s)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4040-0004	SF-424	SF424 mock-up_Rev2.doc		No	No	Printable Only
Instruction			Instructions for SF424_Rev2.doc		No	No	Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	667	667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.