Regulatory Collection Filing

SF 424 - Application for Federal Assistance

RCF 202109-0575-002CF · 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	Received in OIRA
Type of RCF	RCF New
OIRA Conclusion Action	View RCF focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent;
Date Received in OIRA	1969-12-31
Conclusion Date	1969-12-31
Agency Tracking No.	0575-0173
Related Links	OMB 4040-0004 · ICR 201910-4040-001

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

Reginfo record details
Type of RCF: RCF New

Reginfo record details
Description of Agency Usage: This is the standard application required to be executed for all Federal grant programs. (0575-0173)

Reginfo record details
Authorizing Statute(s): None

Reginfo record details
Annual Cost to Federal Government:
Agency Contact: Robin Jones 202 772-1172 [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		1,272	1,272	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

table that charts list of burden
	Total Request	Change Due to Agency Discretion
Annual Number of Responses	1,272	1,272
Annual Time Burden (Hours)	1,272	1,272
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: The agency is requesting to use the form which will result in a program change of 1,272 burden hours.