202411-0575-003CF RCF OMB: 4040-0004
OMB.report
OMB 4040-0004
RCF 202411-0575-003CF
( RCF New )
Array
(
[refNbr] => 202411-0575-003CF
[obm] => 4040-0004
[icr] => 202208-4040-001
[status] => Received in OIRA
[agency] => USDA/RHS
[title] => Standard Form 424, "Application for Federal Assistance"
[typeRCF] => RCF New
[oiraAction] => (function(){var g=function(e,h,f,g){ this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b=e/100?0:
[oiraNOA] => (function(
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => 0575-0180
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202411-0575-003CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 11/30/2025
Agency/Subagency: USDA/RHSAgency Tracking No: 0575-0180
Host OMB Control No: 4040-0004Host ICR Reference No: 202208-4040-001
Title: Standard Form 424, "Application for Federal Assistance"
Description of Agency Usage:
This form is used by applicants as a required factsheet for applications submitted for Federal assistance. The form's OMB No. 4040-0004.
This package OMB No is 0575-0180
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Lisa Day 971 313-4750 [email protected]
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
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
65
0
0
65
0
0
Annual Time Burden (Hours)
65
0
0
65
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:
Miscellaneous Actions
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 65 burden hours.