202601-2125-001CF RCF OMB: 4040-0005
OMB.report
OMB 4040-0005
RCF 202601-2125-001CF
( RCF Recertification )
Array
(
[refNbr] => 202601-2125-001CF
[obm] => 4040-0005
[icr] => 202509-4040-003
[status] => Active
[agency] => DOT/FHWA
[title] => Application for Federal Assistance (SF-424)
[typeRCF] => RCF Recertification
[oiraAction] => Approved
[oiraNOA] => 1599280
[termsOfClearance] =>
[previousRCF] => 202405-2125-001CF
[agencyTrackingNo] =>
[conclusionDate] => 2026-01-20
[dateReceived] => 2026-01-20
)
Document
View RCF
- OIRA Conclusion
RCF ID: 202601-2125-001CFPrevious RCF ID: 202405-2125-001CF
Status:
Active
Expiration Date: 01/31/2029
Agency/Subagency: DOT/FHWAAgency Tracking No:
Host OMB Control No: 4040-0005Host ICR Reference No: 202509-4040-003
Title: Application for Federal Assistance (SF-424)
Type of RCF: RCF Recertification
OIRA Conclusion Action: ApprovedConclusion Date:
01/20/2026
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/20/2026
Terms of Clearance:
Description of Agency Usage:
Application for Federal Assistance (SF-424) is needed as a cover sheet for submission of pre-applications and application and related information under FHWA discretionary grant programs.
Authorizing Statute(s):
None
Annual Cost to Federal Government: $0
Agency Contact:
Jazmyne Lewis 202 809-1267 jazmyne.lewis@dot.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
16,000
16,000
0
Form
4040-0005
Application for Federal Assistance SF-424 Individual
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
16,000
16,000
0
0
0
0
Annual Time Burden (Hours)
16,000
16,000
0
0
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: