Regulatory Collection Filing

SF-424 Individual form usage for USFWS

RCF 202001-1018-001CF · 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	DOI/FWS
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 201807-1018-006CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-424 Individual form usage for USFWS

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: SF-424 Individual form usage for USFWS

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Madonna Baucum 202 354-1916 [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		300	300	0	Form	4040-0005	Application for Federal Assistance SF-424 Individual

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	300	300
Annual Time Burden (Hours)	300	300
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: