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View ICR - OIRA Conclusion

OMB Control No: 4040-0004	ICR Reference No: 202603-0575-019CF
Status: Active	Previous ICR Reference No: 202411-0575-003CF
Agency/Subagency: USDA/RHS	Agency Tracking No: 0575-0180
Title: Standard Form 424, "Application for Federal Assistance"
Type of Information Collection: RCF Recertification	Common Form ICR:
Type of Review Request:
OIRA Conclusion Action: Approved	Conclusion Date: 03/03/2026
	Date Received in OIRA: 03/03/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2029	36 Months From Approved	03/31/2026
Responses	65	0	65
Time Burden (Hours)	65	0	65
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods?

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.

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.

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? No

Agency Contact: Lisa Day 971 313-4750 lisa.day@usda.gov

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