View RCF - OIRA Conclusion

Title: SF-424, Application for Federal Assistance

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 03/03/2026
	Date Received in OIRA: 03/03/2026
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. OMB No. 4040-0004. Package requesting use of form OMB No. 0570-0075

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		60	60	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	60	60
Annual Time Burden (Hours)	60	60
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: