202205-0570-023CF RCF OMB: 4040-0004
OMB.report
OMB 4040-0004
RCF 202205-0570-023CF
( RCF New )
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[refNbr] => 202205-0570-023CF
[obm] => 4040-0004
[icr] => 201910-4040-001
[status] => Received in OIRA
[agency] => USDA/RBS
[title] => SF424, Application for Federal Assistance
[typeRCF] => RCF New
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[oiraNOA] => View RCF focusMeth
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] =>
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202205-0570-023CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 12/31/2022
Agency/Subagency: USDA/RBSAgency Tracking No:
Host OMB Control No: 4040-0004Host ICR Reference No: 201910-4040-001
Title: SF424, Application for Federal Assistance
Description of Agency Usage:
This form is completed once at the time of application and provides the Agency with basic information regarding the applicant and proposed project. (0570-NEW)
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Susan Woolard 202 720-9631 [email protected]
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
HHS SF-424 Burden Collection
25
25
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
25
0
0
25
0
0
Annual Time Burden (Hours)
25
0
0
25
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Changing Regulations
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 25 burden hours.