Regulatory Collection Filing

SF 424 - Application for Federal Assistance

RCF 202108-0572-001CF · 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/RUS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2021-08-18
Conclusion Date	2021-08-18
Agency Tracking No.	0572-0150
Related Links	OMB 4040-0004 · ICR 201910-4040-001 · Retrieve Notice of Action (NOA)

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Title: SF 424 - Application for Federal Assistance

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/18/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/18/2021
Terms of Clearance:

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Description of Agency Usage: Applicants use this form as a required cover sheet for applications submitted for RAVG grants. The application is an official form required for all Federal grants and requests basic information about the applicant and the proposed project. (0572-0150)

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Arlette Mussington 202 402-4109 [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		36	36	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	36	36
Annual Time Burden (Hours)	36	36
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: