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 a multi-purpose form that is used as the application form for the pre-development grant program, the technical assistance grant program, and the site option loan program. This form is used by other Federal Agencies including RHS to report to clearinghouses on actions taken on the applications in accordance with EO 12372 that eliminates the potential of duplication of effort. (0575-0043)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 kimble.brown@wdc.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		70	70	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	70	70
Annual Time Burden (Hours)	70	70
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: