Regulatory Collection Filing

SF-424 Application for Federal Assistance

RCF 202209-0572-003CF · Host ICR 201911-4040-002 · OMB 4040-0005

RCF Summary

Host OMB Control No.	4040-0005
Host ICR Reference No.	201911-4040-002
Agency/Subagency	USDA/RUS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2022-10-11
Conclusion Date	2022-10-11
Agency Tracking No.	0572-0127
Related Links	OMB 4040-0005 · ICR 201911-4040-002 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-424 Application for Federal Assistance

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/11/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/11/2022
Terms of Clearance:

Description of Agency Usage: This form is submitted by the applicant and includes essential and legally required information, such as the grant funds requested, DUNS number, and contact information. The Agency uses the information to set up a customer file and document the application. (0572-0127)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-424 Individual Burden Estimate		73	73	0	Form	4040-0005	Application for Federal Assistance SF-424 Individual

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	73	73
Annual Time Burden (Hours)	73	73
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: RUS requests to use this common form which will add 73 responses and 73 burden hours.