202110-0570-009CF RCF OMB: 4040-0005
OMB.report
OMB 4040-0005
RCF 202110-0570-009CF
( RCF New )
Array
(
[refNbr] => 202110-0570-009CF
[obm] => 4040-0005
[icr] => 201911-4040-002
[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] => 0570-0045
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202110-0570-009CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 01/31/2023
Agency/Subagency: USDA/RBSAgency Tracking No: 0570-0045
Host OMB Control No: 4040-0005Host ICR Reference No: 201911-4040-002
Title: SF 424 Application for Federal Assistance
Description of Agency Usage:
OMB No. 0570-0045 -This form is submitted by the applicant and includes essential and legally required information, such as the grant funds requested, DUNS number, and contact information. The Agency uses the information to set up a customer file and document the application.
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
SF-424 Individual Burden Estimate
25
25
0
Form
4040-0005
Application for Federal Assistance SF-424 Individual
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
25
0
0
0
25
0
Annual Time Burden (Hours)
25
0
0
0
25
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: