Regulatory Collection Filing

SF 424 - Application for Federal Assistance

RCF 202107-0575-001CF · Host ICR 201910-4040-001 · OMB 4040-0004

RCF Summary

Request for correction metadata
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	2021-07-19
Conclusion Date	2021-07-19
Agency Tracking No.	0575-New
Related Links	OMB 4040-0004 · ICR 201910-4040-001 · Retrieve Notice of Action (NOA)

Reginfo record details
Title: SF 424 - Application for Federal Assistance

Reginfo record details
Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/19/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/19/2021
Terms of Clearance:

Reginfo record details
Description of Agency Usage: This is the standard application required to be executed for all Federal grant programs. We have approval to collect this information under OMB Control number 4040-0004.

Reginfo record details
Authorizing Statute(s): None

Reginfo record details
Annual Cost to Federal Government:
Agency Contact: MaryPat Daskal 202-720-7853 [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
HHS SF-424 Burden Collection		3,062	3,062	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	3,062	3,062
Annual Time Burden (Hours)	3,062	3,062
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: This is a request to use the common form resulting in the use of 3,062 burden hours.