Information Collection

SA Financial Status Report

IC 204312 under ICR 201204-0584-010 · OMB 0584-0569.

Documents and Forms

Document Name Document Type
Form SF-425 SA Financial Status Report Form
SF-425 Federal Financial Report SF425 OMB 0348-0061 - Exp 2-28-15.pdf fprs.fns.usda.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SA Financial Status Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 211.11(a)(2) and (a)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-425	Federal Financial Report	SF425 OMB 0348-0061 - Exp 2-28-15.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 2

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	270	270
Annual IC Time Burden (Hours)	405	405
Annual IC Cost Burden (Dollars)	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.