Information Collection

SF 424 Vsn 4

IC 255475 under ICR 202302-2105-001 · OMB 2105-0584.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0584 can be found here:

Documents and Forms

Document Name Document Type
Form SF 240 SF 424 Vsn 4 Form and Instruction
SF 240 Application SFLLL_2_0-V2.0.pdf Form and Instruction
SF 240 Application SFLLL_2_0-V2.0.pdf Form and Instruction
SF 424 Application SF424_4_0-V4.0.pdf Form and Instruction
SF 424 Application SF424_4_0-V4.0.pdf Form and Instruction
SF424_4_0-V4.0.pdf SF 424 from HUD IC Document
SF424_4_0-V4.0.pdf SF 424 from HUD IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SF 424 Vsn 4	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF 240	Application	SFLLL_2_0-V2.0.pdf		Yes	Yes	Fillable Printable
Form and Instruction	SF 424	Application	SF424_4_0-V4.0.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-10	10
Annual IC Time Burden (Hours)	-400	400
Annual IC Cost Burden (Dollars)	-200	200

Documents for IC

Title	Document	Date Uploaded
SF 424 from HUD	SF424_4_0-V4.0.pdf	08/22/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.