Information Collection

Doc

IC 179798 under ICR 200907-4040-002 · OMB 4040-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4040-0005 DOC	Form
Instructions for completing SF424 Individual.doc	Instruction
4040-0005 SF-424 Individual SF-424 Individual Mock-up form.doc	Form

IC Title:

DOC

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.5 2 CFR 215 2 CFR 220 2 CFR 225 2 CFR 230

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	4040-0005	SF-424 Individual	SF-424 Individual Mock-up form.doc		No	No	Printable Only
Instruction			Instructions for completing SF424 Individual.doc		No	No	Printable Only

Line of Business: General Government

Subfunction: Central Property Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 239

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-251	251
Annual IC Time Burden (Hours)	-105	105
Annual IC Cost Burden (Dollars)	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.