SF-424 Discretionary

Forms and Documents

Document Name	Status
Form SF-424 HHS SF-424 Burden Collection Form	Modified
4040-0004 ICR SS 2019 v1.pdf Supporting Statement A	2019-10-18

IC Document Collections

IC ID	Document Title	Status
187902	HHS SF-424 Burden Collection Form	Modified

ICR Details

OMB Control No: 4040-0004	ICR Reference No: 201910-4040-001
Status: Active	Previous ICR Reference No: 201608-4040-014
Agency/Subagency: EGOV	Agency Tracking No: 16500
Title: SF-424 Discretionary
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/30/2019
	Date Received in OIRA: 10/21/2019
Terms of Clearance: Approved with change regarding updating the Form to include a PRA statement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	12/31/2019
Responses	20,803	0	14,883
Time Burden (Hours)	20,803	0	14,883
Cost Burden (Dollars)	0	0	0

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Abstract: The SF-424 was established as the government-wide standard core data set and form for grant applications in July 31, 2003 [Federal Register Notice 68 FR 44974]. Use of the standard data elements was implemented through the electronic grants application process of Grants.gov, and was deployed in October 2003 as part of the implementation of the Federal Financial Assistance Management Improvement Act of 1999 (P.L. 106-107).

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Authorizing Statute(s): PL: Pub.L. 106 - 107 468 Name of Law: Federal Financial Assistance management Improvement Act of 1999
   PL: Pub.L. 109 - 282 2590 Name of Law: Federal Funding Accountability and Transparency Act of 2006
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 16677	04/22/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 34907	07/19/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
HHS SF-424 Burden Collection	SF-424	Application for Federal Assistance

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	20,803	14,883	0	5,920	0	0
Annual Time Burden (Hours)	20,803	14,883	0	5,920	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden is due to an increase in the number of submissions of the SF-424 Discretionary form for grants.

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Annual Cost to Federal Government: $811,317

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  Yes

OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.

Description/Changes for Common Form Usage:  The SF-424 is used by all Federal agencies for grant applications. Grants.gov is responsible for reporting the burden hours for HHS. All other agencies using the form must report their burden hours to ROCIS.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/RHS	202007-0575-002CF	SF 424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202008-0575-001CF	SF 424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	202010-0570-001CF	SF-424, "Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202006-0572-001CF	SF- 424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
NRC	202008-3150-001CF	Application for Federal Financial Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202009-0572-001CF	SF 424 Application for Federal Assistance (non-construction programs)	Active	HHS SF-424 Burden Collection
DOI/FWS	201912-1018-001CF	SF-424 Discretionary Grant form usage for USFWS	Active	HHS SF-424 Burden Collection
DOI/NPS	201912-1024-001CF	SF-424 Discretionary Grant form usage for NPS	Active	HHS SF-424 Burden Collection
TREAS/IRS	201912-1545-001CF	SF-424: IRS Use of Application for Federal Assistance Form	Active	HHS SF-424 Burden Collection
USDA/RBS	201912-0570-002CF	Application for Federal Assistance - SF-424	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-002CF	Application for Federal Assistance SF 424 - Discretionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RUS	201912-0572-001CF	Application for Federal Assistance SF-424 - Discretionary	Active	HHS SF-424 Burden Collection
USDA/RBS	201912-0570-003CF	Application for Federal Assistance - SF-424 Discretionary	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-003CF	Application for Federal Assistance SF-424 - Discretionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS	201912-0570-004CF	SF - 424 Application for Federal Assistance - Discretionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RUS	201912-0572-002CF	Application for Federal Assistance - SF 424 - Discretionary	Active	HHS SF-424 Burden Collection
DOL/DM	201912-1225-001CF	SF-424 Discretionary--DOL Usage	Active	HHS SF-424 Burden Collection
USDA/RUS	201912-0572-003CF	Application for Federal Assistance - SF-424	Active	HHS SF-424 Burden Collection
USDA/APHIS	201912-0579-001CF	Application for Federal Assistance SF-424-Discretionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/APHIS	201912-0579-002CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOT/FAA	201912-2120-001CF	Aviation Research Grants Program	Active	HHS SF-424 Burden Collection
USDA/FNS	201912-0584-001CF	SF-424 Application and Instruction for Federal Assistance (FNS)	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RUS	201912-0572-004CF	SF-424 Federal Assistance Application - Discrectionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
DOC/NTIA	201912-0660-001CF	Application for Federal Assistance (SF-424) for the 911 Grant Program	Active	HHS SF-424 Burden Collection
USDA/RUS	201912-0572-005CF	SF-424 Federal Assistance Application - Discretionary	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-004CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/AMS	201912-0581-001CF	4040-0004 Application for Federal Assistance SF-424	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-005CF	SF - 424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	201912-0570-001CF	Application for Federal Assistance - SF 424	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-001CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RUS	201912-0572-006CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOT/FMCSA	201912-2126-001CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/APHIS	201912-0579-003CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-006CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	201912-0572-007CF	Application for Federal Assistance (SF-424)	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/FAS	201912-0551-001CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
FFIEC	202007-3139-002CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-007CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	201912-0570-005CF	SF-424 “Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-008CF	SF 424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	201912-0570-006CF	SF-424, "Application for Federal Assistance"	Active	HHS SF-424 Burden Collection
USDA/RBS	201912-0570-007CF	Standard Form 424-2	Active	HHS SF-424 Burden Collection
TREAS/DO	201912-1505-001CF	Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program	Active	HHS SF-424 Burden Collection
USDA/RHS	201912-0575-009CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOT/FAA	202003-2120-005CF	FAA Aviation Maintenance Workers Workforce Development Grant Program - SF424 Application Forms Request	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
DOT/FAA	202003-2120-001CF	FAA Aircraft Pilots Workforce Development Grant Program - SF424 Application Forms Request	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/21/2019

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