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: 202509-4040-002
Status: Active	Previous ICR Reference No: 202208-4040-001
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: 03/03/2026
	Date Received in OIRA: 11/14/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2029	36 Months From Approved	03/31/2026
Responses	20,803	0	20,803
Time Burden (Hours)	20,803	0	20,803
Cost Burden (Dollars)	0	0	0

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/RUS	202603-0572-018CF	SF- 424, “Application for Federal Assistance” (0572-0139)	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-011CF	SF-424, "Application for Federal Assistance"	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-019CF	Standard Form 424, "Application for Federal Assistance"	Active	HHS SF-424 Burden Collection
EAC	202603-3265-001CF	Request to use SF424 forms for EAC Grant Compliance	Active	HHS SF-424 Burden Collection
HUD/PIH	202603-2577-001CF	SF-424 Application for Federal Assistance.	Active	HHS SF-424 Burden Collection
DOI/FWS	202603-1018-001CF	SF-424 Discretionary Grant form usage for USFWS	Active	HHS SF-424 Burden Collection
USDA/FNS	202603-0584-001CF	SF-424 Application and Instruction for Federal Assistance (FNS)	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RHS	202603-0575-002CF	Application for Federal Assistance SF-424 - Discretionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
DOL/DM	202603-1225-001CF	SF-424 Discretionary--DOL Usage	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-013CF	SF 424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-009CF	SF- 424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-010CF	SF 424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
VA	202603-2900-005CF	SF-424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
VA	202603-2900-004CF	SF-424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/FAS	202603-0551-001CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RHS	202603-0575-008CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-017CF	SF 424 - Application for Federal Assistance (4040-0004)	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-017CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOC/NTIA	202603-0660-002CF	Application for Federal Assistance (SF-424) for NTIA Public Wireless Supply Chain Innovation Fund Grant Program	Active	HHS SF-424 Burden Collection
DOT/FMCSA	202603-2126-001CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-011CF	SF 424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-010CF	SF-424, “Application for Federal Assistance”	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-022CF	SF-424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
VA	202603-2900-001CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-008CF	SF 424 Application for Federal Assistance (non-construction programs)	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-015CF	SF424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-018CF	SF 424 - Application for Federal Assistance (Non-Construction	Active	HHS SF-424 Burden Collection
USDA/FNS	202603-0584-002CF	Application for Federal Assistance (SF-424)	Active	HHS SF-424 Burden Collection
EPA/OMS	202603-2030-001CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/APHIS	202603-0579-001CF	Application for Federal Assistance SF-424-Discretionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS	202603-0570-005CF	SF-424, "Application for Federal Assistance"	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-010CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
VA	202603-2900-006CF	Veterans Legacy Grants Program	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-009CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-013CF	SF 424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOT/FHWA	202603-2125-002CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-001CF	Application for Federal Assistance SF 424 - Discretionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RHS	202603-0575-005CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-006CF	Standard Form 424-2	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-012CF	Form SF- 424, “Application for Federal Assistance”	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-015CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOT/MARAD	202603-2133-002CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
FFIEC	202603-3139-001CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-016CF	Application for Federal Assistance SF 424	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-004CF	SF-424 “Application for Federal Assistance	Active	HHS SF-424 Burden Collection
EAC	202603-3265-002CF	SF-424 Burden Increase	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-006CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-023CF	SF-424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-002CF	Application for Federal Assistance - SF 424 - Discretionary	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-006CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-013CF	SF-424, Application for Federal Assistance (4040-0004)	Active	HHS SF-424 Burden Collection
DOI/NPS	202603-1024-001CF	SF-424 Discretionary Grant form usage for NPS	Active	HHS SF-424 Burden Collection
DOI/BIA	202603-1076-001CF	BIA SF-424 Usage (discontinuation of 1076-0178)	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-014CF	SF 424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-001CF	Application for Federal Assistance SF-424 - Discretionary	Active	HHS SF-424 Burden Collection
DOC/NTIA	202603-0660-001CF	Application for Federal Assistance (SF-424) for NTIA Broadband Grant Programs	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-016CF	Form SF-424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOT/FRA	202603-2130-001CF	SF-424 Application for Federal Assistance (4040-0004)	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-001CF	Application for Federal Assistance - SF-424	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-004CF	SF-424 Federal Assistance Application - Discrectionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RHS	202603-0575-003CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
VA	202603-2900-002CF	SF- 424- Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-020CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-007CF	SF 424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/APHIS	202603-0579-003CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection
NRC	202603-3150-001CF	Application for Federal Financial Assistance	Active	HHS SF-424 Burden Collection
DOT/FAA	202603-2120-003CF	FAA Aircraft Pilots Workforce Development Grant Program - SF424 Application Forms Request	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/AMS	202603-0581-001CF	4040-0004 Application for Federal Assistance SF-424	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-009CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS	202603-0570-021CF	SF 424, “Application for Federal Assistance”	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-017CF	Form SF- 424; Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-014CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-015CF	SF 424, Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOT/MARAD	202603-2133-001CF	HHS SF-424 Application for Federal Assistance Burden Collection	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-012CF	SF 424- Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/APHIS	202603-0579-002CF	Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-007CF	Application for Federal Assistance (SF-424)	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS	202603-0570-012CF	SF-424, "Application for Federal Assistance" (OMB No. 4040-0004)	Active	HHS SF-424 Burden Collection
VA	202603-2900-003CF	SF-424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
HUD/HUDSEC	202603-2501-001CF	SF424 - HUD NOFOs	Active	HHS SF-424 Burden Collection
TREAS/IRS	202603-1545-001CF	SF-424: IRS Use of Application for Federal Assistance Form	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-002CF	Application for Federal Assistance - SF-424 Discretionary	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-016CF	SF 424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-019CF	SF 424 Application for Federal Assistance (0572-0136)	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-008CF	SF-424, "Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOT/FAA	202603-2120-001CF	Aviation Research Grants Program	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-014CF	SF 424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
DOE/DOEOA	202603-1910-001CF	SF-424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-005CF	SF-424 Federal Assistance Application - Discretionary	Active	HHS SF-424 Burden Collection
DOC/NOAA	202603-0648-001CF	SF424	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-007CF	Application for Federal Assistance - SF 424	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-003CF	SF - 424 Application for Federal Assistance - Discretionary	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/FAS	202603-0551-003CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
TREAS/DO	202603-1505-001CF	Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program	Active	HHS SF-424 Burden Collection
DOT/FAA	202603-2120-002CF	FAA Aviation Maintenance Workers Workforce Development Grant Program - SF424 Application Forms Request	Active	HHS SF-424 Burden Collection , HHS SF-424 Burden Collection
USDA/RBS	202603-0570-019CF	SF 424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/FAS	202603-0551-002CF	SF-424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-003CF	Application for Federal Assistance - SF-424	Active	HHS SF-424 Burden Collection
USDA/RBS	202603-0570-018CF	SF 424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RHS	202603-0575-004CF	SF - 424 Application for Federal Assistance	Active	HHS SF-424 Burden Collection
USDA/RUS	202603-0572-011CF	SF 424 - Application for Federal Assistance	Active	HHS SF-424 Burden Collection
VA	202603-2900-007CF	Veteran and Spouse Transitional Assistance Grant Program	Active	HHS SF-424 Burden Collection