View RCF - OIRA Conclusion

Title: SF-424, "Application for Federal Assistance" (OMB No. 4040-0004)

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/06/2021
	Date Received in OIRA: 09/30/2021
Terms of Clearance:

Description of Agency Usage: This is the standard application required to be completed for all Federal grant programs. It is completed by the grantee at the time of application and provides information necessary for the Agency to complete applicant eligibility determinations (requesting #0570-0075)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Susan Woolard 202 720-9631 susan.woolard@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		30	30	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	30	30
Annual Time Burden (Hours)	30	30
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: The agency is requesting to use the form which will result in a program change of 33 burden hours.