Regulatory Collection Filing

Application for Federal Assistance

RCF 201309-0581-005CF · Host ICR 201307-4040-005 · OMB 4040-0004

RCF Summary

Host OMB Control No.	4040-0004
Host ICR Reference No.	201307-4040-005
Agency/Subagency	USDA/AMS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2013-09-26
Conclusion Date	2013-10-04
Agency Tracking No.	0581-0240
Related Links	OMB 4040-0004 · ICR 201307-4040-005 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Application for Federal Assistance

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/04/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/26/2013
Terms of Clearance:

Description of Agency Usage: Establish the entity's eligibility to participate in FSMIP

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Janise Zygmont 202 720-8043 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
USDA SF-424 Burden Collection		80	80	0	Form	SF-424	placeholder

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	80	80
Annual Time Burden (Hours)	80	80
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: Transferring burden from approved ICR to Common Form.