View Information Collection Request (ICR) Package
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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:
4040-0005
ICR Reference No:
201911-4040-002
Status:
Historical Active
Previous ICR Reference No:
201608-4040-011
Agency/Subagency:
EGOV
Agency Tracking No:
17342
Title:
SF-424 Individual
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:
01/14/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/20/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2023
36 Months From Approved
Responses
0
0
0
Time Burden (Hours)
0
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The Application for Federal Assistance - Individual (SF-424 Individual) form provides the Federal grant-making agencies an alternative to the Standard Form 424 data set and form. Agencies may use the Application for Federal Assistance - Individual form for grant programs not required to collect all the data that is required on the SF-424 core data set and form
Authorizing Statute(s):
US Code:
31 USC 6301-6308
PL:
Pub.L. 109 - 282 2590
Name of Law: Federal Funding Accountability and Transparency Act of 2006
PL:
Pub.L. 106 - 107 468
Name of Law: Federal Financial Assistance Management Improvement Act of 1999
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:
84 FR 16678
04/22/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 34904
07/19/2019
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
SF-424 Individual Burden Estimate
4040-0005
Application for Federal Assistance SF-424 Individual
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
0
0
0
0
0
0
Annual Time Burden (Hours)
0
0
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:
$0
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?
Uncollected
Agency Contact:
Ed Calimag 202 690-7569 Ed.Calimag@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:
Multiple agencies use the SF-424 Individual form as an alternative to the standard SF-424.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
USDA/FS
202001-0596-001CF
Application for Federal Assistance (SF-424) (Individual)
Active
SF-424 Individual Burden Estimate
USDA/RBS
202110-0570-009CF
SF 424 Application for Federal Assistance
Active
SF-424 Individual Burden Estimate
DOT/FTA
202001-2132-004CF
Application for Federal Assistance SF-424
Active
SF-424 Individual Burden Estimate
USDA/RBS
202001-0570-002CF
Small Socially-Disadvantaged Producer Grant Programs
Active
SF-424 Individual Burden Estimate
USDA/RHS
202001-0575-001CF
7 CFR 1942-A, Community Facilities Loans
Active
SF-424 Individual Burden Estimate
DOT/FTA
202001-2132-001CF
Application for Federal Assistance SF-424
Active
SF-424 Individual Burden Estimate
DOT/FTA
202001-2132-002CF
Application for Federal Assistance SF-424
Active
SF-424 Individual Burden Estimate
TREAS/CDFIF
202001-1559-001CF
CDFI SF-424 Individual Form Use
Active
SF-424 Individual Burden Estimate
USDA/RUS
202209-0572-003CF
SF-424 Application for Federal Assistance
Active
SF-424 Individual Burden Estimate
USDA/RBS
202003-0570-001CF
SF 424, Application for Federal Assistance
Active
SF-424 Individual Burden Estimate
USDA/RUS
202209-0572-004CF
SF - 424 Application for Federal Assistance
Active
SF-424 Individual Burden Estimate
USDA/RUS
202001-0572-001CF
SF-424 Application for Federal Assistance - Individual
Active
SF-424 Individual Burden Estimate
DOI/FWS
202001-1018-001CF
SF-424 Individual form usage for USFWS
Active
SF-424 Individual Burden Estimate
DOT/FTA
202001-2132-003CF
Application for Federal Assistance SF-424
Active
SF-424 Individual Burden Estimate
USDA/RBS
202001-0570-001CF
Rural Microentrepreneur Assistance Program
Active
SF-424 Individual Burden Estimate
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:
11/20/2019
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