Information Collection

HHS SF-424 Burden Collection

IC 241186 under ICR 202003-2120-005CF · OMB 4040-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0004 can be found here:

Documents and Forms

Document Name Document Type
Form SF-424 HHS SF-424 Burden Collection Form
SF-424 Application for Federal Assistance 4040-0004 SF424 HF.pdf Form

Information Collection (IC) Details

View RCF Information Collection (IC)

IC Title:	HHS SF-424 Burden Collection	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 2 CFR 225 2 CFR 230 2 CFR 215 5 CFR 1320.5(d)(s) 2 CFR 220

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-424	Application for Federal Assistance	4040-0004 SF424 HF.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	50	50
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.