201607-0572-008CF RCF OMB: 4040-0004
OMB.report
OMB 4040-0004
RCF 201607-0572-008CF
( RCF New )
Array
(
[refNbr] => 201607-0572-008CF
[obm] => 4040-0004
[icr] => 201608-4040-014
[status] => Historical Active
[agency] => USDA/RUS
[title] => Application for Federal Assistance SF-424 - Discretionary
[typeRCF] => RCF New
[oiraAction] => Approved without change
[oiraNOA] => 276007
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => 0572-0096
[conclusionDate] => 2017-01-09
[dateReceived] => 2017-01-03
)
Document
View RCF
- OIRA Conclusion
RCF ID: 201607-0572-008CFPrevious RCF ID:
Status:
Historical Active
Expiration Date: 12/31/2019
Agency/Subagency: USDA/RUSAgency Tracking No: 0572-0096
Host OMB Control No: 4040-0004Host ICR Reference No: 201608-4040-014
Title: Application for Federal Assistance SF-424 - Discretionary
Type of RCF: RCF New
OIRA Conclusion Action: Approved without changeConclusion Date:
01/09/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/03/2017
Terms of Clearance:
Description of Agency Usage:
Form is used to apply for assistance under this program. Distance Learning & Telemedicine Loan & Grant Program (0572-0096) applicants use this form to outline scope, costs and expenses for the project.
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
MaryPat Daskal 202-720-7853 [email protected]
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
HHS SF-424 Burden Collection
190
190
0
Form
SF-424
Application for Federal Assistance
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
190
0
0
190
0
0
Annual Time Burden (Hours)
190
0
0
190
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
Common form usage.