Information Collection

EPA SF-424 Burden Collection

IC 187901 under ICR 200906-4040-004 · OMB 4040-0004.

⚠️ Notice: This information collection may be referencing outdated material.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 EPA 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

View Information Collection (IC)

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

Is this a Common Form? No		IC Status: Modified

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: 3,816	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	Previously Approved
Annual Number of Responses for this IC	9,098	5,282	3,816
Annual IC Time Burden (Hours)	36,392	21,128	15,264
Annual IC Cost Burden (Dollars)	0	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.