View RCF - OIRA Conclusion

Title: Application for Federal Assistance

Type of RCF: RCF No material or nonsubstantive change to a currently approved collection
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/11/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/05/2024
Terms of Clearance:

Description of Agency Usage: This form is used to apply for Federal Assistance in the CAPS Program. (0579-0010)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Robert Baca 3017347592

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		55	55	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	55	54	1
Annual Time Burden (Hours)	55	54	1
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Estimate adjustment