Consolidated FFR

Form Approved

OMB No. 4040-xxxx

Exp. Date :

HHS DATA Act Program Management Office (DAP)

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Consolidated FFR Questionnaire

Survey regarding the consolidated submission process for the Federal Financial Report (referred to the Consolidated FFR).

In the following questions, the phrase “complete FFR” refers to all financial fields of the SF-425 (lines 10a through 11g).

Please tell us about your experience submitting federal financial reports.

1. Have you participated in the Federal Financial Report (FFR) submission process before?

Yes

No

2. Identify the payment system or systems your organization uses to submit the FFR.

Please circle the answer that reflects your opinions as accurately as possible

3. Reporting burden may be decreased with the submission of the complete FFR through a single point of entry.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

4. Submitting the complete FFR through a single point of entry, may result in an increase in reporting efficiencies (i.e. available and transparent financial information).

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

5. I anticipate that the reconciliation process between payments received and expenses reported may improve with the submission of the complete FFR via a single point of entry.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

6. The accuracy of financial data (grant expenditures, payments received) may improve with the submission of the complete FFR via a single point of entry.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Please circle Yes or No for the following questions

7. ­­­Do you believe submitting the complete FFR via a single point of entry, rather than multiple allows for time savings during the reporting process?
   
   
   

Yes

No

8. Do you believe that submitting the complete FFR via a single point of entry, rather than multiple allows for greater accuracy during the reporting process?

Yes

No

Please provide a brief written response

9. In your own words, what benefits do you foresee with the Consolidated FFR submission process?

10. In your own words, what is the most difficult part of submitting the FFR currently?

11. How many minutes does it currently take your organization to complete the FFR submission process?

1-30

31-60

61-90

91-120

>120

Demographics

1. Name: _______________________

2. Email: _________________________

3. Organization Name: ________________________

4. Position/Role: _______________________

5. Department/Unit: ________________________

6. Department/Unit Approximate Federal Award Value (FY 2015, October 1, 2014 – September 30, 2015): ________________________

7. Organization Approximate Federal Award Value (FY 2015, October 1, 2014 – September 30, 2015): ________________________

8. Which type of entity do you represent?

Federal Government

State and Local Government

Non-Governmental Organization (NGO)

For Profit Organization

Non-Profit Organization

University

Native American Tribe

Other

9. If Other, Please Explain: ____________________________________

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 4040-0017. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer