Regulatory Collection Filing

SF-424 Application for Federal Assistance

RCF 201806-0575-031CF · 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/RHS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2018-07-23
Conclusion Date	2018-08-01
Agency Tracking No.	0575-0189
Related Links	OMB 4040-0004 · ICR 201608-4040-014 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-424 Application for Federal Assistance

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/01/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/23/2018
Terms of Clearance:

Description of Agency Usage: This is a standard form used by applicants for Federal assistance (0575-0189).

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Joanna Rogers 202 720-1609

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		900	900	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	900	900
Annual Time Burden (Hours)	900	900
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: