Regulatory Collection Filing

SF-424 Application for Federal Assistance - Individual

RCF 202001-0572-001CF · Host ICR 201911-4040-002 · OMB 4040-0005

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0005
Host ICR Reference No.	201911-4040-002
Agency/Subagency	USDA/RUS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2020-01-14
Conclusion Date	2020-01-14
Agency Tracking No.	0572-0127
Related Links	OMB 4040-0005 · ICR 201911-4040-002 · Previous RCF 201612-0572-010CF · Retrieve Notice of Action (NOA)

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Title: SF-424 Application for Federal Assistance - Individual

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Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 01/14/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/14/2020
Terms of Clearance:

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Description of Agency Usage: Submission of burden request for SF-424 Individual common form usage.

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Thomas Dickson 202 690-4492 [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
SF-424 Individual Burden Estimate		70	70	0	Form	4040-0005	Application for Federal Assistance SF-424 Individual

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Previously Approved
Annual Number of Responses	70	70
Annual Time Burden (Hours)	70	70
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: