Regulatory Collection Filing

Application for Federal Assistance SF-424 - Discretionary

RCF 201912-0572-001CF · Host ICR 201910-4040-001 · OMB 4040-0004

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0004
Host ICR Reference No.	201910-4040-001
Agency/Subagency	USDA/RUS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2019-12-30
Conclusion Date	2019-12-30
Agency Tracking No.	0572-0096
Related Links	OMB 4040-0004 · ICR 201910-4040-001 · Previous RCF 201607-0572-008CF · Retrieve Notice of Action (NOA)

Reginfo record details
Title: Application for Federal Assistance SF-424 - Discretionary

Reginfo record details
Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 12/30/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/30/2019
Terms of Clearance:

Reginfo record details
Description of Agency Usage: Form is used to apply for assistance under this program. Distance Learning & Telemedicine Loan & Grant Program (0572-0096) applicants use this form to outline scope, costs and expenses for the project.

Reginfo record details
Authorizing Statute(s): None

Reginfo record details
Annual Cost to Federal Government:
Agency Contact: MaryPat Daskal 202-720-7853 [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		190	190	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Previously Approved
Annual Number of Responses	190	190
Annual Time Burden (Hours)	190	190
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: