View RCF - OIRA Conclusion

Title: SF 424 Application for Federal Assistance (0572-0136)

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/06/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/31/2025
Terms of Clearance:

Description of Agency Usage: This form is submitted by the applicant at the time of application and is used as a required cover sheet for federal grant programs.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Pamela Bennett 202 720-9639 pamela.bennett@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		25	25	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	25	25
Annual Time Burden (Hours)	25	25
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 25 burden hours.