202506-0575-001CF RCF OMB: 4040-0012
OMB.report
OMB 4040-0012
RCF 202506-0575-001CF
( RCF Recertification )
Array
(
[refNbr] => 202506-0575-001CF
[obm] => 4040-0012
[icr] => 202503-4040-001
[status] => Active
[agency] => USDA/RHS
[title] => Standard Form 270, "Request for Advance or Reimbursement"
[typeRCF] => RCF Recertification
[oiraAction] => Approved
[oiraNOA] => 1314980
[termsOfClearance] =>
[previousRCF] => 202411-0575-005CF
[agencyTrackingNo] => 0575-0180
[conclusionDate] => 2025-06-20
[dateReceived] => 2025-06-20
)
Document
View RCF
- OIRA Conclusion
RCF ID: 202506-0575-001CFPrevious RCF ID: 202411-0575-005CF
Status:
Active
Expiration Date: 06/30/2028
Agency/Subagency: USDA/RHSAgency Tracking No: 0575-0180
Host OMB Control No: 4040-0012Host ICR Reference No: 202503-4040-001
Title: Standard Form 270, "Request for Advance or Reimbursement"
Type of RCF: RCF Recertification
OIRA Conclusion Action: ApprovedConclusion Date:
06/20/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/20/2025
Terms of Clearance:
Description of Agency Usage:
This form is used by the grantee to request advances or reimbursement of cash outlays.
This form OMB No. is 4040-0012.
This PRA 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:
Total Approved
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
90
90
0
0
0
0
Annual Time Burden (Hours)
90
90
0
0
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: