View RCF - OIRA Conclusion

Title: Application for Federal Assistance SF-424 - Discretionary

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/09/2017
	Date Received in OIRA: 01/03/2017
Terms of Clearance:

Description of Agency Usage: Form is used to apply for assistance under this program. Distance Learning & Telemedicine Loan & Grant Program (0572-0096) applicants use this form to outline scope, costs and expenses for the project.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: MaryPat Daskal 202-720-7853 MaryPatDaskal@usda.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		190	190	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	190	190
Annual Time Burden (Hours)	190	190
Annual Cost Burden (Dollars)	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: Common form usage.