Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
4040-0004
ICR Reference No:
202208-4040-001
Status:
Active
Previous ICR Reference No:
201910-4040-001
Agency/Subagency:
EGOV
Agency Tracking No:
16500
Title:
SF-424 Discretionary
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
11/08/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/29/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2025
36 Months From Approved
12/31/2022
Responses
20,803
0
20,803
Time Burden (Hours)
20,803
0
20,803
Cost Burden (Dollars)
0
0
0
Abstract:
The SF-424 was established as the government-wide standard core data set and form for grant applications in July 31, 2003 [Federal Register Notice 68 FR 44974]. Use of the standard data elements was implemented through the electronic grants application process of Grants.gov, and was deployed in October 2003 as part of the implementation of the Federal Financial Assistance Management Improvement Act of 1999 (P.L. 106-107).
Authorizing Statute(s):
PL:
Pub.L. 106 - 107 468
Name of Law: Federal Financial Assistance management Improvement Act of 1999
PL:
Pub.L. 109 - 282 2590
Name of Law: Federal Funding Accountability and Transparency Act of 2006
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
87 FR 39535
07/01/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 57914
09/22/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
HHS SF-424 Burden Collection
SF-424
Application for Federal Assistance
ICR Summary of Burden
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
20,803
20,803
0
0
0
0
Annual Time Burden (Hours)
20,803
20,803
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
Annual Cost to Federal Government:
$811,317
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Sagal Musa 202 205-2634 sagal.musa@hhs.gov
Common Form ICR:
Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.
Description/Changes for Common Form Usage:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
USDA/RBS
202212-0570-001CF
SF 424, “Application for Federal Assistance”
Active
HHS SF-424 Burden Collection
TREAS/DO
202211-1505-003CF
Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-018CF
SF 424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-008CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/FNS
202211-0584-003CF
Application for Federal Assistance (SF-424)
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-009CF
SF- 424, Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-001CF
Application for Federal Assistance SF-424 - Discretionary
Active
HHS SF-424 Burden Collection
DOT/FAA
202211-2120-005CF
FAA Aircraft Pilots Workforce Development Grant Program - SF424 Application Forms Request
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS
202211-0570-011CF
SF-424, "Application for Federal Assistance"
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-013CF
SF 424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-014CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-015CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-010CF
SF 424, Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-005CF
SF-424, "Application for Federal Assistance"
Active
HHS SF-424 Burden Collection
DOT/FMCSA
202211-2126-002CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-002CF
Application for Federal Assistance - SF 424 - Discretionary
Active
HHS SF-424 Burden Collection
NRC
202211-3150-001CF
Application for Federal Financial Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-003CF
Application for Federal Assistance - SF-424
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-005CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
DOI/BIA
202211-1076-001CF
BIA SF-424 Usage (discontinuation of 1076-0178)
Active
HHS SF-424 Burden Collection
DOI/FWS
202211-1018-001CF
SF-424 Discretionary Grant form usage for USFWS
Active
HHS SF-424 Burden Collection
DOT/FAA
202211-2120-004CF
FAA Aviation Maintenance Workers Workforce Development Grant Program - SF424 Application Forms Request
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
VA
202211-2900-001CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-012CF
Form SF- 424, “Application for Federal Assistance”
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-013CF
SF 424, Application for Federal Assistance
Active
HHS SF-424 Burden Collection
EAC
202211-3265-001CF
Request to use SF424 forms for EAC Grant Compliance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-007CF
Application for Federal Assistance - SF 424
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-014CF
SF 424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-002CF
Application for Federal Assistance - SF-424 Discretionary
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-004CF
SF-424 Federal Assistance Application - Discrectionary
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
DOL/DM
202211-1225-002CF
SF-424 Discretionary--DOL Usage
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-015CF
SF424, Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-001CF
Application for Federal Assistance SF 424 - Discretionary
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RHS
202211-0575-018CF
SF 424 - Application for Federal Assistance (Non-Construction
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-011CF
SF 424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-009CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS
202211-0570-001CF
Application for Federal Assistance - SF-424
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-002CF
Application for Federal Assistance SF-424 - Discretionary
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS
202211-0570-010CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-019CF
SF 424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-008CF
SF 424 Application for Federal Assistance (non-construction programs)
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-006CF
Standard Form 424-2
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-012CF
SF-424, "Application for Federal Assistance" (OMB No. 4040-0004)
Active
HHS SF-424 Burden Collection
DOT/FAA
202211-2120-003CF
Aviation Research Grants Program
Active
HHS SF-424 Burden Collection
DOI/NPS
202211-1024-001CF
SF-424 Discretionary Grant form usage for NPS
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-010CF
SF-424, “Application for Federal Assistance”
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-008CF
SF-424, "Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-007CF
SF 424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-004CF
SF - 424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-007CF
Application for Federal Assistance (SF-424)
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RHS
202211-0575-003CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-004CF
SF-424 “Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-016CF
Application for Federal Assistance SF 424
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-017CF
SF 424 - Application for Federal Assistance (4040-0004)
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-009CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-017CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
TREAS/IRS
202211-1545-001CF
SF-424: IRS Use of Application for Federal Assistance Form
Active
HHS SF-424 Burden Collection
USDA/APHIS
202211-0579-001CF
Application for Federal Assistance SF-424-Discretionary
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RUS
202211-0572-005CF
SF-424 Federal Assistance Application - Discretionary
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-003CF
SF - 424 Application for Federal Assistance - Discretionary
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
VA
202211-2900-002CF
SF- 424- Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-013CF
SF-424, Application for Federal Assistance (4040-0004)
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-016CF
SF 424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/FNS
202211-0584-002CF
SF-424 Application and Instruction for Federal Assistance (FNS)
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS
202211-0570-014CF
SF 424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202211-0570-020CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/FAS
202211-0551-001CF
Application for Federal Assistance
Active
HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RHS
202211-0575-006CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
FFIEC
202211-3139-001CF
Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RHS
202211-0575-012CF
SF 424- Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-006CF
Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/APHIS
202211-0579-003CF
Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202211-0572-011CF
SF 424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/AMS
202211-0581-001CF
4040-0004 Application for Federal Assistance SF-424
Active
HHS SF-424 Burden Collection
EAC
202309-3265-001CF
SF-424 Burden Increase
Active
HHS SF-424 Burden Collection
USDA/FAS
202311-0551-001CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/APHIS
202211-0579-002CF
Application for Federal Assistance
Historical Active
HHS SF-424 Burden Collection
VA
202311-2900-006CF
SF-424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
EPA/OMS
202404-2030-001CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/APHIS
202404-0579-004CF
Application for Federal Assistance
Active
HHS SF-424 Burden Collection
DOC/NTIA
202211-0660-002CF
Application for Federal Assistance (SF-424) for NTIA Broadband Grant Programs
Historical Active
HHS SF-424 Burden Collection
DOC/NTIA
202302-0660-001CF
Application for Federal Assistance (SF-424) for NTIA Broadband Grant Programs
Active
HHS SF-424 Burden Collection
DOC/NOAA
202309-0648-001CF
SF424
Active
HHS SF-424 Burden Collection
VA
202307-2900-002CF
SF-424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/FAS
202311-0551-005CF
SF-424 Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RBS
202306-0570-002CF
SF-424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
USDA/RUS
202306-0572-001CF
SF 424, Application for Federal Assistance
Active
HHS SF-424 Burden Collection
DOC/NTIA
202211-0660-001CF
Application for Federal Assistance (SF-424) for the 911 Grant Program
Historical Active
HHS SF-424 Burden Collection
VA
202311-2900-002CF
SF-424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
DOE/DOEOA
202403-1910-003CF
SF-424 - Application for Federal Assistance
Active
HHS SF-424 Burden Collection
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/29/2022