Information Collection

SF-424 R&R HHS burden

IC 210146 under ICR 201401-1850-001CF · OMB 4040-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
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 RCF Information Collection (IC)

IC Title:

SF-424 R&R HHS burden

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	4040-0001	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: 766

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	766	766
Annual IC Time Burden (Hours)	766	766
Annual IC Cost Burden (Dollars)	22,980	22,980

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.