Regulatory Collection Filing

SF-424 Federal Assistance Application - Discrectionary

RCF 201707-0572-025CF · Host ICR 201608-4040-014 · OMB 4040-0004

RCF Summary

Host OMB Control No.	4040-0004
Host ICR Reference No.	201608-4040-014
Agency/Subagency	USDA/RUS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-09-13
Conclusion Date	2017-09-19
Agency Tracking No.	0572-0112
Related Links	OMB 4040-0004 · ICR 201608-4040-014 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-424 Federal Assistance Application - Discrectionary

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/13/2017
Terms of Clearance:

Description of Agency Usage: This is the cover page applicants use on their Technical Assistance Program (0572-0112) application package when applying for funds.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Thomas Dickson 202 690-4492 [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		66	66	0	Form	SF-424	Application for Federal Assistance
HHS SF-424 Burden Collection		16	16	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	82	82
Annual Time Burden (Hours)	82	82
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: Use of common form.