Regulatory Collection Filing

SF 424Individual 4040-0005

RCF 201304-3136-001CF · Host ICR 201210-4040-001 · OMB 4040-0005

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0005
Host ICR Reference No.	201210-4040-001
Agency/Subagency	NEH
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved
Date Received in OIRA	2016-08-11
Conclusion Date	2016-08-11
Related Links	OMB 4040-0005 · ICR 201210-4040-001 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Reginfo record details
RCF ID: 201304-3136-001CF	Previous RCF ID:
Status: Historical Active	Expiration Date: 08/11/2016
Agency/Subagency: NEH	Agency Tracking No:
Host OMB Control No: 4040-0005	Host ICR Reference No: 201210-4040-001

Reginfo record details
Title: SF 424Individual 4040-0005

Reginfo record details
Type of RCF: RCF New
OIRA Conclusion Action: Approved	Conclusion Date: 08/11/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/11/2016
Terms of Clearance:

Reginfo record details
Description of Agency Usage: NEH requires usage of the SF 424I by individual applicants for NEH grants and fellowships.

Reginfo record details
Authorizing Statute(s): None

Reginfo record details
Annual Cost to Federal Government: $0
Agency Contact: Susan Daisey 202 606-8499 [email protected]

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-424 Individual Burden Estimate		3,000	3,000	0	Form	4040-0005	SF-424 Individual
SF-424 Individual Burden Estimate		3,000	3,000	0	Instruction

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	3,000	3,000
Annual Time Burden (Hours)	3,000	3,000
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Sharon Mar at OMB informed us that we must submit this RCF to continue to use the SF 424 Individual, 4040-0005. NEH requires individuals applying for NEH funding to submit this form via Grants.gov.