View RCF - OIRA Conclusion

Title: SF-424 Application for Federal Assistance

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/06/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/19/2018
Terms of Clearance:

Description of Agency Usage: This is a multi-purpose form that is used as the application form for the pre-development grant program, the technical assistance grant program, and the site option loan program.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Andrea Birmingham 202 720-1489

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS SF-424 Burden Collection		100	100	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	100	100
Annual Time Burden (Hours)	100	100
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: With this submission the number of respondents has decreased from 105 to 100.