Regulatory Collection Filing

SF-424 Application for Federal Assistance - Individual

RCF 201610-0572-009CF · Host ICR 201210-4040-001 · OMB 4040-0005

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0005
Host ICR Reference No.	201210-4040-001
Agency/Subagency	USDA/RUS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2016-10-04
Conclusion Date	2016-10-10
Agency Tracking No.	0572-0127
Related Links	OMB 4040-0005 · ICR 201210-4040-001 · Retrieve Notice of Action (NOA)

Reginfo record details
Title: SF-424 Application for Federal Assistance - Individual

Reginfo record details
Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/10/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/04/2016
Terms of Clearance:

Reginfo record details
Description of Agency Usage: Submission of burden request for SF-424 Individual common form usage.

Reginfo record details
Authorizing Statute(s): None

Reginfo record details
Annual Cost to Federal Government:
Agency Contact: Thomas Dickson 202 690-4492 [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
SF-424 Individual Burden Estimate		70	70	0	Form	4040-0005	SF-424 Individual
SF-424 Individual Burden Estimate		70	70	0	Instruction

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	70	70
Annual Time Burden (Hours)	70	70
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: Submission for common form usage.