Information Collection

Application for Authorization to Use 4-H Name and/or Emblem

IC 1048 under ICR 200901-0524-001 · OMB 0524-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0034 can be found here:

Documents and Forms

Document Name Document Type
Form CSREES-01 Application for Authorization to Use 4-H Name and/or Emblem Form
CSREES-01 Application for Authorization to use the 4-H Name and/or 4-H NE Pre-auth PDF fill in 2 12 09 password protected.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Authorization to Use 4-H Name and/or Emblem	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 8

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CSREES-01	Application for Authorization to use the 4-H Name and/or Emblem	4-H NE Pre-auth PDF fill in 2 12 09 password protected.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 40

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	0	60
Annual IC Time Burden (Hours)	30	-15	45
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.