Regulatory Collection Filing

Request for Common Form Usage

RCF 201701-0524-063CF · Host ICR 201608-4040-009 · OMB 4040-0001

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0001
Host ICR Reference No.	201608-4040-009
Agency/Subagency	USDA/NIFA
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-02-01
Conclusion Date	2017-02-07
Related Links	OMB 4040-0001 · ICR 201608-4040-009 · Retrieve Notice of Action (NOA)

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Title: Request for Common Form Usage

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/07/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/01/2017
Terms of Clearance:

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Description of Agency Usage: To help with the processing of grants (0524-0039)

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Authorizing Statute(s): None

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Annual Cost to Federal Government: $0
Agency Contact: Robert Martin 202 401-5924 [email protected]

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Responses	Hours	Document Type	Form No.	Form Name
R&R Other Project Information	5,755	5,755	Form	4040-0001	Research & Related Other Project Information
R&R Budget (up to 5 years)	5,755	5,755	Form	4040-0001	Research & Related Budget
5 Year R&R Subaward Budget Attachment(s) Form (up to 30 attachments)	1,228	1,228	Form	4040-0001	5 Year R&R Subaward Budget(Fed/Non-Fed) Attachments 30 Attachments
R&R Personal Data	5,755	5,755	Form	4040-0001	Research and Related Personal Data
SF 424 Application for Federal Assistance Research and Related Cover	6,300	6,300	Form	4040-0001	SF424 Application for Federal Assistance Research and Related Cover
SBIR/STTR Information	600	600	Form	4040-0001	SBIR/STTR Form
R&R Federal/Non-Federal Budget (up to 5 years)	1,000	1,000	Form	4040-0001	Research and Related Budget (Total Fed + Non-Fed)
5 Year R&R Subaward Budget Attachment(s) Form (up to 30 attachments)	1,228	1,228	Form	4040-0001	5 Year R&R Subaward Budget(Fed/Non-Fed) Attachments 30 Attachments
5 Year R&R Subaward Budget (Fed/Non-Fed) Form 30 Attachments	1,000	1,000	Form	4040-0001	5 Year R&R Subaward Budget(Fed/Non-Fed) Attachments 30 Attachments
R&R Senior/Key Person Profile (Expanded)	5,755	5,755	Form	4040-0001	Research & Related Senior/Key Person Profile (Expanded)

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	34,376	34,376
Annual Time Burden (Hours)	34,376	34,376
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: For common form usage.