Application for Authorization to Use 4-H Name and/or Emblem

OMB 0524-0034

The purpose of this collection is to determine whether the applicant's proposed use of the 4-H name and/or emblem meets the regulatory requirements and whether an authorization for use should be granted.

The latest form for Application for Authorization to Use 4-H Name and/or Emblem expires 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form NIFA-01 Application for Authorization to Use 4-H Name and/or Emblem Form
4-H Name & Emblem Supporting Statement.doc Supporting Statement A
Application for Authorization to Use 4-H Name and/or Emblem Form

All Historical Document Collections

201905-0524-001 Approved without change	Revision of a currently approved collection	2019-05-22
201510-0524-002 Approved without change	Extension without change of a currently approved collection	2016-01-19
201205-0524-001 Approved without change	Extension without change of a currently approved collection	2012-11-26
200901-0524-001 Approved without change	Revision of a currently approved collection	2009-03-20
200512-0524-001 Approved without change	Revision of a currently approved collection	2005-12-15
200302-0524-001 Approved without change	Reinstatement with change of a previously approved collection	2003-02-13
199906-0524-001 Approved without change	Revision of a currently approved collection	1999-06-30
199602-0524-001 Approved without change	Revision of a currently approved collection	1996-02-21
199504-0524-001 Approved without change	Extension without change of a currently approved collection	1995-04-25