202111-0575-003CF RCF OMB: 4040-0004
OMB.report
OMB 4040-0004
RCF 202111-0575-003CF
( RCF New )
Array
(
[refNbr] => 202111-0575-003CF
[obm] => 4040-0004
[icr] => 201910-4040-001
[status] => Received in OIRA
[agency] => USDA/RHS
[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] => 0575-0043
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202111-0575-003CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 12/31/2022
Agency/Subagency: USDA/RHSAgency Tracking No: 0575-0043
Host OMB Control No: 4040-0004Host ICR Reference No: 201910-4040-001
Title: SF-424 Application for Federal Assistance
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
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
70
0
0
70
0
0
Annual Time Burden (Hours)
70
0
0
70
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
RHS is requesting to utilize this common form which will add 70 hours and 70 respondents.