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SF-424 R&R HHS burden
SF-424 Research & Related (R&R)
OMB: 4040-0001
IC ID: 185153
OMB.report
EGOV
OMB 4040-0001
ICR 201305-4040-001
IC 185153
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0001 can be found here:
2023-05-26 - RCF New
2022-11-08 - RCF Recertification
Documents and Forms
Document Name
Document Type
Form 4040-0001
SF-424 R&R HHS burden
Form
4040-0001 SF 424 (R&R) Application for Federal Assistance (Cover)
RR_SF424_2_0-V2.0.pdf
at07apply.grants.gov/apply/forms/sample/RR_SF424_2_0-V2.0.pdf
Form
4040-0001 R&R Personal Data
RR_PersonalData_1_2-V1.2.pdf
at07apply.grants.gov/apply/forms/sample/RR_PersonalData_1_2-V1.2.pdf
Form
4040-0001 R&R Senior/Key Person Profile
RR_KeyPerson-V1.1.pdf
at07apply.grants.gov/apply/forms/sample/RR_KeyPerson-V1.1.pdf
Form
4040-0001 R&R Senior/Key Person Profile (Expanded)
RR_KeyPersonExpanded_2_0-V2.0.pdf
at07apply.grants.gov/apply/forms/sample/RR_KeyPersonExpanded_2_0-V2.0.pdf
Form
4040-0001 R&R Other Project Information
RR_OtherProjectInfo_1_3-V1.3.pdf
at07apply.grants.gov/apply/forms/sample/RR_OtherProjectInfo_1_3-V1.3.pdf
Form
4040-0001 SBIR/STTR Information
SBIR_STTR_Information_1_1-V1.1.pdf
at07apply.grants.gov/apply/forms/sample/SBIR_STTR_Information_1_1-V1.1.pdf
Form
4040-0001 R&R Budget (up to 5 years)
RR_Budget_1_3-V1.3.pdf
at07apply.grants.gov/apply/forms/sample/RR_Budget_1_3-V1.3.pdf
Form
4040-0001 R&R Budget (up to 10 years)
RR_Budget10_1_3-V1.3.pdf
at07apply.grants.gov/apply/forms/sample/RR_Budget10_1_3-V1.3.pdf
Form
4040-0001 R&R Federal/Non-Federal Budget (up to 5 years)
RR_FedNonFedBudget-V1.1.pdf
at07apply.grants.gov/apply/forms/sample/RR_FedNonFedBudget-V1.1.pdf
Form
4040-0001 R&R Federal/Non-Federal Budget (up to 10 years)
RR_FedNonFedBudget10-V1.1.pdf
at07apply.grants.gov/apply/forms/sample/RR_FedNonFedBudget10-V1.1.pdf
Form
4040-0001 R&R Subaward Budget Attachment(s) Form (up to 10 attachm
RR_SubawardBudget_1_3-V1.3.pdf
at07apply.grants.gov/apply/forms/sample/RR_SubawardBudget_1_3-V1.3.pdf
Form
4040-0001 5 Year R&R Subaward Budget Attachment(s) Form (up to 30
RR_SubawardBudget30_1_3-V1.3.pdf
at07apply.grants.gov/apply/forms/sample/RR_SubawardBudget30_1_3-V1.3.pdf
Form
4040-0001 10 Year R&R Subaward Budget Attachment(s) Form (up to 10
RR_SubawardBudget10_10_1_3-V1.3.pdf
at07apply.grants.gov/apply/forms/sample/RR_SubawardBudget10_10_1_3-V1.3.pdf
Form
4040-0001 10 Year R&R Subaward Budget Attachment(s) Form (up to 30
RR_SubawardBudget10_30_1_3-V1.3.pdf
at07apply.grants.gov/apply/forms/sample/RR_SubawardBudget10_30_1_3-V1.3.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SF-424 R&R HHS burden
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
5 CFR 1320.5(d)(2)
2 CFR 215
2 CFR 220
2 CFR 225
2 CFR 230
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
4040-0001
SF 424 (R&R) Application for Federal Assistance (Cover)
RR_SF424_2_0-V2.0.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_SF424_2_0-V2.0.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Personal Data
RR_PersonalData_1_2-V1.2.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_PersonalData_1_2-V1.2.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Senior/Key Person Profile
RR_KeyPerson-V1.1.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_KeyPerson-V1.1.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Senior/Key Person Profile (Expanded)
RR_KeyPersonExpanded_2_0-V2.0.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_KeyPersonExpanded_2_0-V2.0.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Other Project Information
RR_OtherProjectInfo_1_3-V1.3.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_OtherProjectInfo_1_3-V1.3.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
SBIR/STTR Information
SBIR_STTR_Information_1_1-V1.1.pdf
http://at07apply.grants.gov/apply/forms/sample/SBIR_STTR_Information_1_1-V1.1.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Budget (up to 5 years)
RR_Budget_1_3-V1.3.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_Budget_1_3-V1.3.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Budget (up to 10 years)
RR_Budget10_1_3-V1.3.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_Budget10_1_3-V1.3.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Federal/Non-Federal Budget (up to 5 years)
RR_FedNonFedBudget-V1.1.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_FedNonFedBudget-V1.1.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Federal/Non-Federal Budget (up to 10 years)
RR_FedNonFedBudget10-V1.1.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_FedNonFedBudget10-V1.1.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
R&R Subaward Budget Attachment(s) Form (up to 10 attachments)
RR_SubawardBudget_1_3-V1.3.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_SubawardBudget_1_3-V1.3.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
5 Year R&R Subaward Budget Attachment(s) Form (up to 30 attachments)
RR_SubawardBudget30_1_3-V1.3.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_SubawardBudget30_1_3-V1.3.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
10 Year R&R Subaward Budget Attachment(s) Form (up to 10 attachments)
RR_SubawardBudget10_10_1_3-V1.3.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_SubawardBudget10_10_1_3-V1.3.pdf
Yes
Yes
Fillable Fileable Signable
Form
4040-0001
10 Year R&R Subaward Budget Attachment(s) Form (up to 30 attachments)
RR_SubawardBudget10_30_1_3-V1.3.pdf
http://at07apply.grants.gov/apply/forms/sample/RR_SubawardBudget10_30_1_3-V1.3.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
128,378
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
128,378
0
66,245
0
62,133
0
Annual IC Time Burden (Hours)
128,378
0
-3,599,602
0
3,727,980
0
Annual IC Cost Burden (Dollars)
3,851,340
0
3,851,340
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.