View RCF - OIRA Conclusion

Title: SF-424 Request for Financial Request

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/29/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/05/2021
Terms of Clearance:

Description of Agency Usage: The form is needed for Certified Mediation Program (0560-0165).

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Mary Ann Ball 202-720-4283 MaryAnn.Ball@usda.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-424 Mandatory		126	126	0	Form and Instruction	4040-0002	Application for Federal Assistance - SF-424 Mandatory

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	126	126
Annual Time Burden (Hours)	126	126
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: FSA is requesting to use the form that will result in 126 burden hours.