Regulatory Collection Filing

SF 424, Application for Federal Assistance

RCF 202008-0575-001CF · 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/RHS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2020-09-03
Conclusion Date	2020-09-09
Agency Tracking No.	0575-0120
Related Links	OMB 4040-0004 · ICR 201910-4040-001 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF 424, Application for Federal Assistance

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/09/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/03/2020
Terms of Clearance:

Description of Agency Usage: Rural Development requires that an application form be completed with each application package. This form gives basic information regarding the applicant, including the type of loan/grant assistance they are seeking. . 0575-0120

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Karla Peiffer 515 284-4729

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		1,000	1,000	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,000	1,000
Annual Time Burden (Hours)	1,000	1,000
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: