SF-424 Mandatory

ICR 201911-4040-005

OMB: 4040-0020

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instructi
New
Supporting Statement A
2019-11-12
IC Document Collections
IC ID
Document
Title
Status
238521 New
ICR Details
4040-0020 201911-4040-005
Active
EGOV
SF-424 Mandatory
New collection (Request for a new OMB Control Number)   Yes
Regular
Approved without change 01/22/2020
Retrieve Notice of Action (NOA) 11/20/2019
  Inventory as of this Action Requested Previously Approved
01/31/2023 36 Months From Approved
5,761 0 0
5,761 0 0
0 0 0

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

PL: Pub.L. 109 - 282 2590 Name of Law: Federal Accountability and Transparency Act of 2006
   PL: Pub.L. 106 - 107 468 Name of Law: Federal Financial Assistance Management Improvement Act of 1999
  
None

Not associated with rulemaking

  84 FR 8731 03/11/2019
84 FR 22864 05/20/2019
No

1
IC Title Form No. Form Name
SF-424 Mandatory 4040-0002 Application for Federal Assistance - SF-424 Mandatory

  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 5,761 0 0 5,761 0 0
Annual Time Burden (Hours) 5,761 0 0 5,761 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
As this is a Common Form, burden is reported only for HHS. An estimate of the total burden of the information collection was developed. HHS receives approximately 5,761 applications annually and estimates that it takes applicants approximately 1 hour on average to complete each application. Cumulatively, HHS reports that the total burden to applicants to be approximately 5,761 hours.

$224,679
No
    No
    No
No
No
No
Uncollected
Ed Calimag 202 690-7569 [email protected]

  Yes
  This form is used by multiple agencies for collecting information related to Mandatory grant programs that are not included in the standard SF-424.
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/20/2019


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