Regulatory Collection Filing

Request to use SF-424 Individual common form for ONRR

RCF 201604-1012-002CF · Host ICR 201210-4040-001 · OMB 4040-0005

RCF Summary

Host OMB Control No.	4040-0005
Host ICR Reference No.	201210-4040-001
Agency/Subagency	DOI/ONRR
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2016-04-28
Conclusion Date	2016-05-04
Related Links	OMB 4040-0005 · ICR 201210-4040-001 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Request to use SF-424 Individual common form for ONRR

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/04/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/28/2016
Terms of Clearance:

Description of Agency Usage: Burden request for ONRR to use the SF-424 Individual Common Form.

Authorizing Statute(s): None

Annual Cost to Federal Government: $230,165
Agency Contact: Armand Southall 303 231-3221 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-424 Individual Burden Estimate		224	224	0	Form	4040-0005	SF-424 Individual
SF-424 Individual Burden Estimate		224	224	0	Instruction

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	224	224
Annual Time Burden (Hours)	224	224
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: Initial submission of Common Form usage.