202105-0570-001CF RCF OMB: 4040-0004
OMB.report
OMB 4040-0004
RCF 202105-0570-001CF
( RCF New )
Array
(
[refNbr] => 202105-0570-001CF
[obm] => 4040-0004
[icr] => 201910-4040-001
[status] => Received in OIRA
[agency] => USDA/RBS
[title] => SF-424 Application for Federal Assistance
[typeRCF] => RCF New
[oiraAction] => View RCF focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent;
[oiraNOA] => View RCF focusMeth
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => 0570-New
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202105-0570-001CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 12/31/2022
Agency/Subagency: USDA/RBSAgency Tracking No: 0570-New
Host OMB Control No: 4040-0004Host ICR Reference No: 201910-4040-001
Title: SF-424 Application for Federal Assistance
Description of Agency Usage:
This form must be filled out as completely as possible. Make sure that you include your DUNS number and your CAGE code and expiration date on the form. The form must be signed by your authorized representative and dated.
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
100
100
0
Form
SF-424
Application for Federal Assistance
Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
100
0
0
0
100
0
Annual Time Burden (Hours)
100
0
0
0
100
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
This is a request to use the common form resulting in the use of 100 burden hours.