Information Collection

SF-424 Individual Burden Estimate

IC 206074 under ICR 201303-0570-003CF · 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⚠️ Notice: This information collection may be referencing outdated material.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 SF-424 Individual Burden Estimate	Form
Instructions for completing SF424 Individual.doc	Instruction
4040-0005 SF-424 Individual SF-424 Individual Mock-up form.doc	Form

IC Title:

SF-424 Individual Burden Estimate

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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

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: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17

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
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	17	17
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.