Information Collection

SF-424 Individual Burden Estimate

IC 206471 under ICR 201612-2132-016CF · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 4040-0005 SF-424 Individual Burden Estimate Form
4040-0005 Application for Federal Assistance SF-424 Individual Application for Federal Assistance SF 424 - Individual.pdf Form

Information Collection (IC) Details

View RCF Information Collection (IC)

IC Title:	SF-424 Individual Burden Estimate	Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4040-0005	Application for Federal Assistance SF-424 Individual	Application for Federal Assistance SF 424 - Individual.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	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.