Regulatory Collection Filing

SF 424 Application for Federal Assistance

RCF 202601-0570-006CF · Host ICR 202509-4040-003 · OMB 4040-0005

RCF Summary

Host OMB Control No.	4040-0005
Host ICR Reference No.	202509-4040-003
Agency/Subagency	USDA/RBS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2026-01-20
Conclusion Date	2026-01-20
Agency Tracking No.	0570-0045
Related Links	OMB 4040-0005 · ICR 202509-4040-003 · Previous RCF 202302-0570-026CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF 424 Application for Federal Assistance

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 01/20/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/20/2026
Terms of Clearance:

Description of Agency Usage: OMB No. 0570-0045 -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.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Arlette Mussington 202 402-4109 [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		25	25	0	Form	4040-0005	Application for Federal Assistance SF-424 Individual

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	25	25
Annual Time Burden (Hours)	25	25
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: