SF-424 Individual

Forms and Documents

Document Name	Status
Form 4040-0005 SF-424 Individual Burden Estimate Form	Modified
4040-0005 ICR SS 2019.docx Supporting Statement A	2019-11-12

IC Document Collections

IC ID	Document Title	Status
186774	SF-424 Individual Burden Estimate Form	Modified

ICR Details

OMB Control No: 4040-0005	ICR Reference No: 201911-4040-002
Status: Active	Previous ICR Reference No: 201608-4040-011
Agency/Subagency: EGOV	Agency Tracking No: 17342
Title: SF-424 Individual
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 without change	Conclusion Date: 01/14/2020
	Date Received in OIRA: 11/20/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Application for Federal Assistance - Individual (SF-424 Individual) form provides the Federal grant-making agencies an alternative to the Standard Form 424 data set and form. Agencies may use the Application for Federal Assistance - Individual form for grant programs not required to collect all the data that is required on the SF-424 core data set and form

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Authorizing Statute(s): US Code: 31 USC 6301-6308 Name of Law: null
   PL: Pub.L. 109 - 282 2590 Name of Law: Federal Funding Accountability and Transparency Act of 2006
   PL: Pub.L. 106 - 107 468 Name of Law: Federal Financial Assistance Management Improvement Act of 1999
  

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 16678	04/22/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 34904	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
SF-424 Individual Burden Estimate	4040-0005	Application for Federal Assistance SF-424 Individual

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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	0	0	0	0	0	0
Annual Time Burden (Hours)	0	0	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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:  Multiple agencies use the SF-424 Individual form as an alternative to the standard SF-424.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/RBS	202001-0570-001CF	Rural Microentrepreneur Assistance Program	Active	SF-424 Individual Burden Estimate
USDA/RBS	202001-0570-002CF	Small Socially-Disadvantaged Producer Grant Programs	Active	SF-424 Individual Burden Estimate
USDA/RHS	202001-0575-001CF	7 CFR 1942-A, Community Facilities Loans	Active	SF-424 Individual Burden Estimate
DOT/FTA	202001-2132-001CF	Application for Federal Assistance SF-424	Active	SF-424 Individual Burden Estimate
DOT/FTA	202001-2132-002CF	Application for Federal Assistance SF-424	Active	SF-424 Individual Burden Estimate
DOT/FTA	202001-2132-003CF	Application for Federal Assistance SF-424	Active	SF-424 Individual Burden Estimate
DOT/FTA	202001-2132-004CF	Application for Federal Assistance SF-424	Active	SF-424 Individual Burden Estimate
TREAS/CDFIF	202001-1559-001CF	CDFI SF-424 Individual Form Use	Active	SF-424 Individual Burden Estimate
USDA/RUS	202001-0572-001CF	SF-424 Application for Federal Assistance - Individual	Active	SF-424 Individual Burden Estimate
DOI/FWS	202001-1018-001CF	SF-424 Individual form usage for USFWS	Active	SF-424 Individual Burden Estimate
USDA/FS	202001-0596-001CF	Application for Federal Assistance (SF-424) (Individual)	Active	SF-424 Individual Burden Estimate
USDA/RBS	202003-0570-001CF	SF 424, Application for Federal Assistance	Active	SF-424 Individual Burden Estimate

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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: 11/20/2019

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