Regulatory Collection Filing

Application for Federal Assistance (SF-424) for the 911 Grant Program

RCF 201709-0660-008CF · 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	DOC/NTIA
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-09-21
Conclusion Date	2017-09-27
Related Links	OMB 4040-0004 · ICR 201608-4040-014 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Application for Federal Assistance (SF-424) for the 911 Grant Program

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/27/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/21/2017
Terms of Clearance:

Description of Agency Usage: Application for Federal Assistance (SF-424) for the 911 Grant Program

Authorizing Statute(s): US Code: 47 USC 942 Name of Law: NG911 Advancement Act of 2012

Annual Cost to Federal Government: $3,000
Agency Contact: Jessica Elder 202 482-1034 [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		60	60	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	60	60
Annual Time Burden (Hours)	60	60
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: This is a new information collection.