SF-428 Final Report - Attachment to SF 428

FINAL REPORT - ATTACHMENT TO SF-428
Federal Grant or Other Identifying Number Assigned by Federal Agency (Block 2 on SF-428).

1. Report (Select all that apply)
a. ___ Federally-owned Property

(List on Supplemental Sheet SF-428S or recipient equivalent and complete Section 2a below.)

b. ___ Acquired Equipment with acquisition cost of $5,000 or more for which the awarding agency has reserved the right to transfer title
(List on Supplemental Sheet SF-428S or recipient equivalent and complete Section 2b below.)
c. ___ Residual Unused Supplies with total aggregate fair market value exceeding $5,000 not needed for any other Federally sponsored
programs or projects. (Complete Section 2c below)
d. ___ None of the above
For Agency Use Only

2. Complete relevant section(s)
2a. Federally-owned Property
(Select one or more.)

Agency response to requested disposition of Federally owned property:
(i)

Recipient request approved___ denied ___

(i) ___ Request transfer to Award ______________
(ii) ___ Request Federal Agency disposition instructions
(iii) ___ Other (Provide detail in Block 8 or attach request)

(ii)

Dispose in accordance with attached instructions ___.

2b. Acquired Equipment (Select one or more.)

Agency response to requested disposition of acquired equipment::

(i) ___ Request unconditional transfer of title with no
further obligation to the Federal Government.

(i)

Recipient request approved___ denied ___

(ii)

Dispose in accordance with attached instructions ___

(ii) ___ Request Federal Agency disposition instructions
Note: If the awarding agency does not provide disposition
instructions within 120 days the recipient may continue to
use the equipment for Federally supported projects or
dispose in accordance with the applicable property
standards.

Authorized Awarding Agency Official
Signature:

Date:

Name:

Phone:

Title

Email

2c. Reportable Residual Unused Supplies
(i)

__ Sale proceeds or __ Estimate of current fair market value ……………………

$_____________

(ii)

Percentage of Federal participation …….………………………………………

_____________%

(iii)

Federal share …………………………….…………………………………

$____________

(iv)

Selling and handling allowance …….……………………………..…………..

$____________

(v)

Amount remitted to the Federal Government……………………………………

$____________

3. Comments

Agency use only
FINAL REPORT ATTACHMENT TO SF-428

SF- Final Report Form – Attachment to SF-428
OMB Approval Number:

SF-428 FINAL REPORT ATTACHMENT INSTRUCTIONS
A. General Instructions:
This Attachment is to be used by recipients when required to provide a final property report for closeout of Federal
assistance awards. The Attachment allows recipients to request specific disposition of Federally-owned property and
acquired equipment. The attachment also provides a means for calculating and transmitting appropriate compensation to
the awarding agency for residual unused supplies.
Requirements for final reporting are based on individual award provisions and the type of property. Generally, at the end
of a Federal assistance award, recipients are required to:
a. submit a report of Federally-owned property
b. provide a listing of equipment items, with an acquisition cost of $5,000 or more, when the awarding agency has
reserved the right to transfer title to the equipment to the Federal Government or a third party.
c. compensate the awarding agency for residual unused supplies with a total aggregate fair market value greater
than $5,000 that are not needed for any other Federally sponsored programs or projects.
Federal Grant or Other Identifying Number Assigned by Federal Agency. Enter the Federal grant, cooperative
agreement or other Federal financial assistance award instrument number or other identifying number assigned to the
Federal financial assistance award.
1. Report. Check applicable blocks a-c to indicate the type of property that is being reported. Note: Federally-owned
property includes items provided by the awarding agency, regardless of dollar value, and items of equipment acquired
with award funds when the award specifies that title to the equipment vests in the Federal Government upon acquisition.
Check block d to indicate no property to report, if the awarding agency requires a negative report.
2. Complete the relevant sections to correspond with the property reported in Block 1.
2a. Federally-owned Property.
(i) To request transfer of the property for use on a specific Federal award
(ii) To request Federal agency disposition instructions for unneeded Federally-owned property
(iii) To request a disposition other than (i) or (ii). For example, requests for transfer of title under authority of the
Stevenson-Wydler Act.
2b. Acquired Equipment with acquisition cost of $5,000 or more for which the awarding agency has reserved the
right to transfer title.
(i) When statutory authority exists, the Federal awarding agency has the option to vest title to acquired equipment
acquired with award funds in the recipient with no further obligation to the Federal government and under
conditions the Federal awarding agency considers appropriate.
(ii) To request Federal agency disposition instructions for equipment acquired with award funds
2c. Residual Unused Supplies. Indicate whether the supplies have been sold or if they will be retained for use solely on
non Federally-funded projects.
(i)

(ii)
(iii)
(iv)
(v)

Enter the total amount of sales proceeds or an estimate of the current fair market value if the supplies will
be retained. Note: Fair market value means the best estimate of the gross sales proceeds if the property
were to be sold in a public sale.
Enter the percentage of Federal Government participation in the award under which the supplies were
acquired.
Enter the dollar amount of sales proceeds (or estimate of current fair market value) times the percentage
of Federal Government participation listed in (ii).
If the supplies were sold, enter the amount of selling and handling expenses. Enter zero if the supplies
will be retained for use on non Federally funded projects.
Enter the amount of the Federal share in (iii) less the selling and handling expense listed in (iv). Indicate
in Block 8 how the funds are being returned to the government (e.g., attached check made out to the
Awarding Agency/U.S. Treasury or electronic remission).

3. Comments. Provide any explanations or additional information in this block. Attach additional sheets if necessary.
Agency use only. This section is reserved for Federal agency use only.

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