Regulatory Collection Filing

SF-424A Budget Information for Non-Construction*** (4040-0006)

RCF 202011-0560-004CF · Host ICR 201810-4040-002 · OMB 4040-0006

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0006
Host ICR Reference No.	201810-4040-002
Agency/Subagency	USDA/FSA
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2021-01-04
Conclusion Date	2021-01-10
Related Links	OMB 4040-0006 · ICR 201810-4040-002 · Retrieve Notice of Action (NOA)

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Title: SF-424A Budget Information for Non-Construction*** (4040-0006)

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/10/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/04/2021
Terms of Clearance:

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Description of Agency Usage: The form is needed for Certified Mediation Program (0560-0165).

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Mary Ann Ball 202-720-4283 [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
Budget Information for Non-Construction Programs (SF-424A)		126	126	0	Form	4040-0006	Budget Information for Non-Construction Programs (SF-424A)

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	126	126
Annual Time Burden (Hours)	126	126
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: FSA is requesting to use the form that will result in 126 burden hours.