Regulatory Collection Filing

Standard Form 424-2

RCF 201906-0570-007CF · Host ICR 201608-4040-014 · OMB 4040-0004

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0004
Host ICR Reference No.	201608-4040-014
Agency/Subagency	USDA/RBS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2019-06-26
Conclusion Date	2019-07-02
Agency Tracking No.	0570-0052
Related Links	OMB 4040-0004 · ICR 201608-4040-014 · Retrieve Notice of Action (NOA)

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Title: Standard Form 424-2

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/02/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/26/2019
Terms of Clearance:

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Description of Agency Usage: Application for Federal Assistance (for Non-Construction)

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Authorizing Statute(s): None

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Annual Cost to Federal Government: $780
Agency Contact: Robin Jones 202 772-1172 [email protected]

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS SF-424 Burden Collection		20	20	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	20	20
Annual Time Burden (Hours)	20	20
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: There is an increase in burden hours per applicant from approximately 18 hours to 22.5 hours.