202601-0503-001CF
RCF
OMB: 1405-0250
Array
(
[refNbr] => 202601-0503-001CF
[obm] => 1405-0250
[icr] => 202601-1405-001
[status] => Active
[agency] => USDA/AgSEC
[title] => Eligibility Questionnaire for HAVANA Act Payments
[typeRCF] => RCF Recertification
[oiraAction] => Approved
[oiraNOA] => 1581180
[termsOfClearance] =>
[previousRCF] => 202306-0503-001CF
[agencyTrackingNo] =>
[conclusionDate] => 2026-01-07
[dateReceived] => 2026-01-07
)
Document
View RCF
- OIRA Conclusion
| 202601-0503-001CF |
202306-0503-001CF |
|
Active
|
01/31/2026 |
| USDA/AgSEC |
|
| 1405-0250 |
202601-1405-001 |
| Eligibility Questionnaire for HAVANA Act Payments |
|
RCF Recertification
|
| Approved |
01/07/2026
|
|
Retrieve Notice of Action (NOA)
|
01/07/2026
|
|
|
|
The Eligibility Questionnaire will be used to authorize a lump sum payment to the victim of an AHI.
|
|
None
|
|
|
John Decato 202 720-1021
|
|
| IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
|
Eligibility Questionnaire For HAVANA Act Payments
|
|
10 |
5 |
0 |
Form and Instruction |
DS-4316 |
Eligibility Questionnaire for Havana Act Payments |
| Form |
DS-4316 |
Eligibility Questionnaire for HAVANA Act payments |
| |
Total Approved |
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 |
10 |
10 |
0 |
0 |
0 |
0 |
| Annual Time Burden (Hours) |
5 |
5 |
0 |
0 |
0 |
0 |
| Annual Cost Burden (Dollars) |
0 |
0 |
0 |
0 |
0 |
0 |
|
Yes
|
|
Miscellaneous Actions
|
|
No
|
|
|
|
|
|
|