View RCF - OIRA Conclusion

Title: SF-424 Application for Federal Assistance (4040-0004)

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 form collects applicant and proposed project data, including descriptive title of project, location of proposed activity, and budget summary. Auto-populates data to other OMB forms and templates to minimize burden

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Arlette Mussington 202 402-4109 Arlette.A.Mussington@hud.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		1,000	1,000	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	1,000	1,000
Annual Time Burden (Hours)	1,000	1,000
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: