Regulatory Collection Filing

Application for Federal Assistance (SF-424) (Individual)

RCF 202001-0596-001CF · Host ICR 201911-4040-002 · OMB 4040-0005

RCF Summary

Host OMB Control No.	4040-0005
Host ICR Reference No.	201911-4040-002
Agency/Subagency	USDA/FS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2020-01-14
Conclusion Date	2020-01-14
Related Links	OMB 4040-0005 · ICR 201911-4040-002 · Previous RCF 201802-0596-006CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Application for Federal Assistance (SF-424) (Individual)

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:

Description of Agency Usage: This is a standard form required for use as a cover sheet for submission of pre-applications and applications and related information under discretionary programs. (0596-0217)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Tinathan Lewis 202 205-3773 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-424 Individual Burden Estimate		10	10	0	Form	4040-0005	Application for Federal Assistance SF-424 Individual

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	10	10
Annual Time Burden (Hours)	10	10
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: