SF-425 Federal Financial Report 4040-0014 and SF-425A Federal Financial Report Attachment

Forms and Documents

Document Name	Status
Form 4040-0014 SF-425A Federal Financial Report Attachment Form and Instructi	New
Form 4040-0014 SF-425 Federal Financial Report 4040-0014 Form and Instructi	Modified
Supporting Statement 4040-0014 SF425 and SF425A v1.2.docx Supporting Statement A	2018-12-07

IC Document Collections

IC ID	Document Title	Status
233823	SF-425A Federal Financial Report Attachment Form and Instructi	New
218371	SF-425 Federal Financial Report 4040-0014 Form and Instructi	Modified

ICR Details

OMB Control No: 4040-0014	ICR Reference No: 201810-4040-013
Status: Active	Previous ICR Reference No: 201509-4040-005
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-425 Federal Financial Report 4040-0014 and SF-425A Federal Financial Report Attachment
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/22/2019
	Date Received in OIRA: 12/10/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2022	36 Months From Approved	02/28/2019
Responses	200,000	0	100,000
Time Burden (Hours)	200,000	0	100,000
Cost Burden (Dollars)	0	0	0

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Abstract: The forms are a standard government wide forms for grantees to use in reporting financial status and cash disbursement under grants.

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Authorizing Statute(s): PL: Pub.L. 106 - 107 3(2) Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 19071	05/01/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 44891	09/25/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
SF-425 Federal Financial Report 4040-0014	4040-0014	SF-425 Federal Financial Report
SF-425A Federal Financial Report Attachment	4040-0014	Federal Financial Report Attachment (SF-425A)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	200,000	100,000	0	100,000	0	0
Annual Time Burden (Hours)	200,000	100,000	0	100,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has increased by 100,000 hours due to the addition of the SF-425 Federal Financial Report Attachment IC to this OMB Control Number.

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Annual Cost to Federal Government: $7,800,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  Yes

OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.

Description/Changes for Common Form Usage:  The forms are used by federal grant-making agencies for use of grant reporting from awardees

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/RUS	202006-0572-005CF	SF 425, “Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202010-0570-006CF	Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/AMS	201910-0581-007CF	4040-0014 Federal Financial Report SF-425	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	202009-0572-005CF	SF 425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/FSA	201902-0560-001CF	SF-425 Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	201902-0572-007CF	Federal Financial Report SF-425	Active	SF-425 Federal Financial Report 4040-0014
DOT/FAA	201902-2120-001CF	Aviation Research Grants Program	Active	SF-425 Federal Financial Report 4040-0014
USDA/FNS	201902-0584-002CF	SF-425 Federal Financial Report (FNS)	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RHS	201902-0575-004CF	SF-425 -- Financial Status Report	Active	SF-425 Federal Financial Report 4040-0014
DOI/BLM	201902-1004-002CF	BLM - 425, Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
DOI/NPS	201902-1024-001CF	SF-425 - Federal Financial Report common form usage for NPS.	Active	SF-425 Federal Financial Report 4040-0014
USDA/AMS	201902-0581-002CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
DOI/BIA	201902-1076-001CF	SF 425 - Federal Financial Report for BIA Use	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	201902-0572-006CF	Federal Financial Report SF 425	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	201902-0570-010CF	SF-425, “Federal Financial Report”	Active	SF-425 Federal Financial Report 4040-0014
USDA/FS	201902-0596-002CF	Federal Financial Report (SF-425)	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	201902-0575-007CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
DOT/FMCSA	201902-2126-002CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	201902-0572-010CF	Financial Status Report (SF-425)	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RUS	201902-0572-008CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RBS	201902-0570-008CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	201902-0575-005CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
DOC/NTIA	201902-0660-002CF	Federal Financial Report (SF-425) for 911 Grant Program	Active	SF-425 Federal Financial Report 4040-0014
USDA/AMS	201902-0581-003CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
DOT/FAA	201902-2120-002CF	Aviation Research Grants Program	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	201902-0572-009CF	Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	201902-0570-009CF	SF-425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/APHIS	201902-0579-004CF	Federal Financial Report (4040-0014)	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/NIFA	201902-0524-001CF	Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/AMS	201902-0581-001CF	Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
DOI/OSMRE	201902-1029-003CF	Request to use SF-425 - Federal Financial Report - Private Sector for OSMRE	Active	SF-425 Federal Financial Report 4040-0014
DOI/ONRR	201902-1012-001CF	SF-425 Federal Financial Report usage for ONRR	Active	SF-425 Federal Financial Report 4040-0014
DOI/OSMRE	201902-1029-004CF	Request to use SF-425 - Federal Financial Report- State, Local & Tribal Govt. for OSMRE	Active	SF-425 Federal Financial Report 4040-0014
DOI/FWS	201902-1018-001CF	SF-425 Federal Financial Report usage for USFWS	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	201902-0575-006CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	201906-0570-005CF	SF 425-V1	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202003-0570-006CF	SF 425, Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
DOT/FAA	202004-2120-016CF	FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - SF425 Forms Request	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment, SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
DOT/FAA	202004-2120-004CF	FAA Aircraft Pilot Workforce Development Grant Program - SF425 Financial Reporting Forms Request	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment, SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
EAC	202006-3265-002CF	Election Assistance Commission Federal Financial Report (EAC-FFR)	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/10/2018

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