View RCF - OIRA Conclusion

Title: SF 424 - Application for Federal Assistance (4040-0004)

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/11/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/10/2022
Terms of Clearance:

Description of Agency Usage: This is the standard application required to be executed for all Federal grant programs. (OMB#: 0575-0200)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Arlette Mussington 202 402-4109 Arlette.A.Mussington@hud.gov

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		765	765	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	765	765
Annual Time Burden (Hours)	765	765
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: The agency is requesting to use the form which will result in a program change of 765 burden hours.