Regulatory Collection Filing

SF-424 Application for Federal Assistance

RCF 202209-0570-002CF · 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/RBS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2022-09-13
Conclusion Date	2022-09-13
Agency Tracking No.	0570-0052
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: 09/13/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/13/2022
Terms of Clearance:

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Description of Agency Usage: Application for Federal Assistance (For Non-Construction)-(SF-424)â This form provides general information and signature documenting application. 0570-0052

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Crystal Pemberton 202 556-8038 [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		20	20	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	20	20
Annual Time Burden (Hours)	20	20
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: The agency is requesting to use the form which will result in a program change of 20 burden hours.