Regulatory Collection Filing

SF-424 Application for Federal Assistance

RCF 201809-2126-002CF · 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	DOT/FMCSA
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2019-01-29
Conclusion Date	2019-02-04
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: 02/04/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/29/2019
Terms of Clearance:

Description of Agency Usage: This form is used by applicants as a required cover fact sheet for the grant application.

Authorizing Statute(s): PL: Pub.L. 106 - 107 468 Name of Law: Federal Financial Assistance Management Improvement Act of 1999 PL: Pub.L. 109 - 282 2590 Name of Law: Federal funding Accountability and Transparency Act of 2006

Annual Cost to Federal Government: $8,341
Agency Contact: Thomas Martin 202 366-8768

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		165	165	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	165	165
Annual Time Burden (Hours)	165	165
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: FMCSA is requesting use of this form for the first time therefore this is a burden increase.