View RCF - OIRA Conclusion

Title: Form SF- 424; Application for Federal Assistance

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/17/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/21/2025
Terms of Clearance:

Description of Agency Usage: Applicants use this form as a required cover sheet for applications submitted for loans and grants. The application is an official form required for all Federal grants and requests basic information about the applicant and the proposed project. This form is submitted when processing certain servicing actions. This form OMB Control No. is 4040-0004. The renewal package OMB Control No. is 0572-0137

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Katherine Mathis 202 713-7565 katherine.mathis@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		2,122	2,122	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	2,122	2,122
Annual Time Burden (Hours)	2,122	2,122
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 2,122 burden hours.