Regulatory Collection Filing

SF-424 Discretionary

RCF 201505-0570-005CF · 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	USDA/RBS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2015-05-05
Conclusion Date	2015-05-11
Agency Tracking No.	0570-0024
Related Links	OMB 4040-0004 · ICR 201307-4040-005 · Retrieve Notice of Action (NOA)

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Title: SF-424 Discretionary

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/11/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/05/2015
Terms of Clearance:

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Description of Agency Usage: A required cover sheet submitted by the applicant for the Rural Business Opportunity Grant program. Agency uses required information, EIN, DUNS, and CCR information to confirm eligibility.

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 [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
USDA SF-424 Burden Collection		240	240	0	Form	SF-424	placeholder
USDA SF-424 Burden Collection		27	27	0	Form	SF-424	placeholder

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	267	267
Annual Time Burden (Hours)	267	267
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: Increase attributed to agency now accounting for its own burden to use this form.