Regulatory Collection Filing

SF 424 Application for Federal Assistance

RCF 202112-0570-001CF · 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/RBS
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.	0570-0064
Related Links	OMB 4040-0004 · ICR 201910-4040-001

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Title: SF 424 Application for Federal Assistance

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Type of RCF: RCF New

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Description of Agency Usage: This form is used by applicants as a required face sheet for applications for federal funding. (0570-0064)

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Authorizing Statute(s): None

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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		828	828	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	828	828
Annual Time Burden (Hours)	828	828
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: RBCS is requesting to utilize this common form which will add 828 hours and 828 respondents.