View RCF  - Agency Submission

Received in OIRA 12/31/2022
4040-0004 201910-4040-001
SF 424, Application for Federal Assistance
This form is used by applicants as a required factsheet for applications submitted for Federal assistance. 0575-0180
Pamela Bennett 202 720-9639 [email protected]

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HHS SF-424 Burden Collection 90 90 0 Form SF-424 Application for Federal Assistance

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 90 0 0 90 0 0
Annual Time Burden (Hours) 90 0 0 90 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Miscellaneous Actions
The agency is requesting to use the form, which will result in a program change of 90 burden hours.