Regulatory Collection Filing

Application for Federal Assistance

RCF 201309-1225-002CF · Host ICR 201307-4040-005 · OMB 4040-0004

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0004
Host ICR Reference No.	201307-4040-005
Agency/Subagency	DOL/DM
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2013-09-17
Conclusion Date	2013-09-19
Related Links	OMB 4040-0004 · ICR 201307-4040-005 · Retrieve Notice of Action (NOA)

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Title: Application for Federal Assistance

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/17/2013
Terms of Clearance:

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Description of Agency Usage: To evaluate grant applications for purposes of award.

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Michel Smyth 202 693-0638 [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
DOL SF-424 Burden Collection		5,000	2,500	0	Form	SF-424	placeholder
DOL SF-424 Burden Collection		2,500	1,250	0	Form	SF-424	placeholder

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	7,500	7,500
Annual Time Burden (Hours)	3,750	3,750
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: Adding DOL burden.