Regulatory Collection Filing

Application for Federal Assistance (SF-424) (Individual)

RCF 202601-0596-002CF · Host ICR 202509-4040-003 · OMB 4040-0005

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0005
Host ICR Reference No.	202509-4040-003
Agency/Subagency	USDA/FS
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.	0596-0217
Related Links	OMB 4040-0005 · ICR 202509-4040-003 · Previous RCF 202508-0596-005CF · Retrieve Notice of Action (NOA)

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Title: Application for Federal Assistance (SF-424) (Individual)

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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:

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Description of Agency Usage: This is a standard form required for use as a cover sheet for submission of pre-applications and applications and related information under discretionary programs. (0596-0217)

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Amy Jewell 573 408-0636 [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
SF-424 Individual Burden Estimate		617	617	0	Form	4040-0005	Application for Federal Assistance SF-424 Individual

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Previously Approved
Annual Number of Responses	617	617
Annual Time Burden (Hours)	617	617
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: