View RCF  - Agency Submission

Received in OIRA 12/31/2022
USDA/RHS 0575-0043
4040-0004 201910-4040-001
SF-424 Application for Federal Assistance
This is a multi-purpose form that is used as the application form for the pre-development grant program, the technical assistance grant program, and the site option loan program. This form is used by other Federal Agencies including RHS to report to clearinghouses on actions taken on the applications in accordance with EO 12372 that eliminates the potential of duplication of effort. (0575-0043)
Kimble Brown 202 692-0042 [email protected]

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HHS SF-424 Burden Collection 70 70 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 70 0 0 70 0 0
Annual Time Burden (Hours) 70 0 0 70 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Miscellaneous Actions
RHS is requesting to utilize this common form which will add 70 hours and 70 respondents.