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pdfFederal Agency Form Instructions
Form Identifiers
Agency Owner
Form Name
Form Version Number
OMB Number
OMB Expiration Date
Information
Grants.gov
Federal Financial Report
2.0
4040-0014
01/31/2019
Form Field Instructions
Field
Field Name
Number
1.
Federal Agency
and
Organizational
Element to
Which Report
is Submitted
2.
Federal Grant
or Other
Identifying
Number
Assigned by
Federal Agency
(To report
multiple
grants, use FFR
Attachment)
Required or
Optional
Required
Information
Required
Enter Federal Grant or Other Identifying Number
Assigned by Federal Agency. (To report multiple
grants, use FFR Attachment) This field is required.
3-1.
Required
Enter the legal name of the applicant that will
undertake the assistance activity. This
3-2.
Recipient
Organization
Name
Street1
Required
3-3.
3-4.
3-5.
3-6.
Street2
City
County
State
3-7.
Province
Optional
Required
Optional
Required if
USA
selected for
Country.
Optional
Enter the first line of the Street Address. This field
is required.
Enter the second line of the Street Address.
Enter the City. This field is required.
Enter the County.
Select the state, US possession or military code
from the provided list. This field is required if USA
is selected for Country.
OMB Number: 4040-0014
OMB Expiration Date: 01/31/2019
Enter Federal Agency and Organizational Element
for which the report is submitted. This field is
required.
Enter the Province.
1
Field
Field Name
Number
3-8.
Country
Required or
Optional
Required
3-9.
Zip/Postal
Code
4a.
DUNS Number
Required if
USA
selected for
Country.
Required
4b.
EIN
Required
5.
Recipient
Account
Number or
Identifying
Number
Report Type
Basis of
Accounting
Project/Grant
Period From
Project/Grant
Period To
Report Period
End
Transactions
Optional
Cash Receipts
Cash
Disbursements
Cash on Hand
(line a minus b)
Total Federal
funds
authorized
Federal share
of
expenditures
Federal share
of unliquidated
obligations
Optional
Optional
6.
7.
8-1.
8-2.
9.
10.
10a.
10b.
10c.
10d.
10e.
10f.
Information
Select the Country from the provided list. This
field is required.
Enter the Postal Code (e.g., ZIP code). This field is
required if USA is selected as Country.
Enter the DUNS or DUNS+4 number of the
applicant organization. This field is required
Enter either TIN or EIN as assigned by the Internal
Revenue Service. If your organization is not in the
US, enter 44-4444444. This field is required.
Enter Recipient Account Number or Identifying
Number.
Optional
Optional
Select one.
Select one.
Required
Optional
Enter the Project/Grant Period From Date as
mm/dd/yyyy. This field is required.
Enter the Project/Grant Period To Date as
mm/dd/yyyy. This field is required.
Enter the Reporting Period End Date as
mm/dd/yyyy. This field is required.
Use lines a-c for single or multiple grant reporting.
Use lines d-o for single grant reporting.
Enter the amount of the federal cash receipts.
Enter the amount of the federal cash
disbursements.
Federal cash on hand. This is a calculated field
Optional
Enter the total federal funds that are authorized.
Optional
Enter the federal share of the expenditures.
Optional
Enter the Federal share of the unliquidated
obligations.
Required
Required
Optional
OMB Number: 4040-0014
OMB Expiration Date: 01/31/2019
2
Field
Field Name
Number
10g.
Total Federal
share (sum of
lines e and f)
10h.
Unobligated
balance of
Federal Funds
(line d minus g)
10i.
Total recipient
share required
10j.
Recipient share
of
expenditures
10k.
Remaining
recipient share
to be provided
(i minus j)
10l.
Total Federal
program
income earned
10m.
Program
Income
expended in
accordance
with the
deduction
alternative
10n.
Program
Income
expended in
accordance
with the
addition
alternative
10o.
Unexpended
program
income (line l
minus line m or
line n)
11.
Indirect
Expense
11a.
Type
Required or
Optional
Optional
Information
Optional
Unobligated balance of Federal Funds (line d
minus g). This is a calculated field.
Optional
Enter total recipient shared that is required.
Optional
Enter the recipient's share of expenditures
Optional
Remaining recipient share to be provided (line i
minus j). This is a calculated field.
Optional
Enter the total federal program income earned.
Optional
Enter Program Income expended in accordance
with the deduction alternative. If Line N has a
value greater than zero, then Line M must be
zero.
Optional
Enter Program Income expended in accordance
with the addition alternative. If Line M has a value
greater than zero, then Line N must be zero.
Optional
Enter Unexpended program income (line l minus
line m or line n).
Optional
Enter the information for indirect expense.
Optional
Enter the type of indirect expense.
OMB Number: 4040-0014
OMB Expiration Date: 01/31/2019
Total Federal share (sum of lines e and f). This is a
calculated field.
3
Field
Number
11b.
11c-1.
11c-2.
11d.
Field Name
11e.
Amount
Charged
Federal Share
Optional
Optional
Optional
Optional
Calculated. Sum of Federal Share.
Optional
Attach any explanations deemed necessary or
information required by Federal sponsoring
agency in compliance with governing legislation.
Required
Report is to be signed by the Authorized
Certifying Official.
13a-1.
Totals (Base)
Totals (Amount
Charged)
Totals (Federal
Share)
Remarks:
Attach any
explanations
deemed
necessary or
information
required by
Federal
sponsoring
agency in
compliance
with governing
legislation:
Name and Title
of Authorized
Certifying
Official
Prefix
Enter the rate for the given indirect expense.
Enter the start date of the indirect expense.
Enter the end date of the indirect expense.
Enter base amount for the type of indirect
expense.
Enter amount charged for the type of indirect
expense.
Enter the Federal Share for the type of indirect
expense.
Calculated. Sum of Base.
Calculated. Sum of Amount Charged.
Optional
13a-2.
13a-3.
13a-4.
13a-5.
First Name
Middle Name
Last Name
Suffix
Required
Optional
Required
Optional
13a-6.
Title
Required
Select the Prefix from the provided list or enter a
new Prefix not provided on the list.
Enter the First Name. This field is required.
Enter the Middle Name.
Enter the Last Name. This field is required.
Select the Suffix from the provided list or enter a
new Suffix not provided on the list.
Enter the position title. This field is required.
11f.
11g-1.
11g-2.
11g-3.
12.
13a.
Rate
Period From
Period To
Base
Required or
Optional
Optional
Optional
Optional
Optional
Optional
OMB Number: 4040-0014
OMB Expiration Date: 01/31/2019
Information
4
Field
Field Name
Number
13b.
Signature of
Authorized
Certifying
Official
13c.
Telephone
Required or
Optional
13d.
13e.
Required
Required
Email Address
Date Report
Submitted
Information
Report is to be signed by the Authorized
Certifying Official.
Required
OMB Number: 4040-0014
OMB Expiration Date: 01/31/2019
Enter the daytime Telephone Number. This field is
required.
Enter a valid Email Address. This field is required.
Enter the date this report was submitted as
mm/dd/yyyy. This field is required.
5
File Type | application/pdf |
File Title | Agency Form Instruction Template |
Subject | Grant application form instructions for applicants |
Author | Federal Agency |
File Modified | 2018-04-12 |
File Created | 2018-04-12 |