HHS SF-424 Burden Collection

Form SF-424, Application for Federal Assistance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 4040-0004 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	HHS SF-424 Burden Collection	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 2 CFR 225 2 CFR 230 2 CFR 215 5 CFR 1320.5(d)(s) 2 CFR 220

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: Privacy Act of 1974; System of Records	FR Citation: 89 FR 72820

Number of Respondents: 615	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,230	1,230
Annual IC Time Burden (Hours)	1,230	1,230
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.