Regulatory Collection Filing

Application for Federal Assistance - SF 424 - Discretionary

RCF 201912-0572-002CF · Host ICR 201910-4040-001 · OMB 4040-0004

RCF Summary

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.	0572-0138
Related Links	OMB 4040-0004 · ICR 201910-4040-001 · Previous RCF 201701-0572-013CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Application for Federal Assistance - SF 424 - Discretionary

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:

Description of Agency Usage: Applicants use this form as a required cover sheet for applications submitted for the Revolving Fund Program (0572-0138).

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Rebecca Hunt 202 205-3660 [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		4	4	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	4	4
Annual Time Burden (Hours)	4	4
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: