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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4040-0014 Federal Financial Report Attachment (SF-425A)	Form and Instruction	Unchanged	Available
Form 4040-0014 SF-425A Federal Financial Report Attachment	Form and Instruction	Unchanged	Repair queued
Form 4040-0014 SF-425 Federal Financial Report	Form and Instruction	Unchanged	Repair queued
Form 4040-0014 SF-425 Federal Financial Report 4040-0014	Form and Instruction	Unchanged	Repair queued
Supporting Statement 4040-0014 SF425 and SF425A v1.2.docx	Supporting Statement A	Uploaded 2022-01-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
233823	SF-425A Federal Financial Report Attachment	Form and Instruction	Unchanged	Federal Financial Report Attachment (SF-425A)
233823	SF-425A Federal Financial Report Attachment	Form and Instruction	Unchanged
218371	SF-425 Federal Financial Report 4040-0014	Form and Instruction	Unchanged	SF-425 Federal Financial Report
218371	SF-425 Federal Financial Report 4040-0014	Form and Instruction	Unchanged

ICR Details

OMB Control No: 4040-0014	ICR Reference No: 202112-4040-004
Status: Historical Active	Previous ICR Reference No: 201810-4040-013
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: 02/25/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/24/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2025	36 Months From Approved	02/28/2022
Responses	200,000	0	200,000
Time Burden (Hours)	200,000	0	200,000
Cost Burden (Dollars)	0	0	0

---

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

---

Authorizing Statute(s): PL: Pub.L. 106 - 107 3(2)
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 54695	12/03/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 2623	01/18/2022
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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)

---

ICR Summary of Burden

table that charts list 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	200,000	0	0	0	0
Annual Time Burden (Hours)	200,000	200,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

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? No

---

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: 

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/RBS	202212-0570-007CF	SF–425, ‘‘Federal Financial Report’’	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202205-0570-020CF	SF425 - Federal Financial Report	Active	SF-425A Federal Financial Report Attachment
USDA/NRCS	202203-0578-010CF	Composting and Food Waste Reduction (CFWR) Cooperative Agreement Program	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202204-0570-004CF	Federal Financial Report, SF-425	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202209-0570-007CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202204-0570-002CF	Federal Financial Report (Post Award)	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202203-0570-005CF	SF 425, Federal Financial Report (4040-0014)	Active	SF-425 Federal Financial Report 4040-0014
USDA/NRCS	202203-0578-004CF	Urban Agriculture and Innovative Production (UAIP)	Active	SF-425 Federal Financial Report 4040-0014
USDA/AMS	202202-0581-001CF	4040-0014 Federal Financial Report SF-425	Active	SF-425 Federal Financial Report 4040-0014
DOI/ONRR	202202-1012-001CF	SF-425 Federal Financial Report usage for ONRR	Active	SF-425 Federal Financial Report 4040-0014
DOI/NPS	202202-1024-001CF	SF-425 - Federal Financial Report common form usage for NPS.	Active	SF-425 Federal Financial Report 4040-0014
USDA/FSA	202202-0560-002CF	SF-425 Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/AMS	202202-0581-002CF	Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	202202-0575-007CF	SF-425 -- Financial Status Report	Active	SF-425 Federal Financial Report 4040-0014
DOI/BLM	202202-1004-002CF	BLM - 425, Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
DOI/OSMRE	202202-1029-003CF	Request to use SF-425 - Federal Financial Report - Private Sector for OSMRE	Active	SF-425 Federal Financial Report 4040-0014
USDA/AMS	202202-0581-003CF	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/OSMRE	202202-1029-004CF	Request to use SF-425 - Federal Financial Report- State, Local & Tribal Govt. for OSMRE	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-021CF	Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	202202-0572-014CF	Financial Status Report (SF-425)	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
DOT/FAA	202202-2120-007CF	FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - SF425 Forms Request	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment, SF-425A Federal Financial Report Attachment
USDA/APHIS	202202-0579-004CF	Federal Financial Report (4040-0014)	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RHS	202202-0575-009CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
EAC	202202-3265-001CF	Election Assistance Commission Federal Financial Report (EAC-FFR)	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
DOT/FAA	202202-2120-005CF	Aviation Research Grants Program	Active	SF-425 Federal Financial Report 4040-0014
DOL/DM	202202-1225-002CF	Federal Financial Report (SF-425)	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
USDA/RUS	202202-0572-010CF	Federal Financial Report SF 425	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	202202-0572-018CF	SF-425, “Financial Status Report”	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-026CF	SF-270, Request for Advance or Reimbursement	Active	SF-425 Federal Financial Report 4040-0014
USDA/FS	202202-0596-002CF	Federal Financial Report (SF-425)	Active	SF-425 Federal Financial Report 4040-0014
USDA/AMS	202202-0581-004CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	202202-0575-012CF	SF 425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	202202-0575-010CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/FSA	202202-0560-003CF	SF-425 Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	202202-0572-013CF	Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/FNS	202202-0584-004CF	Federal Financial Report (SF-425)	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	202202-0575-013CF	SF 425 - “Federal Financial Report” (OMB No. 4040-0014)	Active	SF-425 Federal Financial Report 4040-0014
DOI/FWS	202202-1018-004CF	SF-425 Federal Financial Report usage for USFWS	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	202202-0572-012CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-018CF	SF-425, “Federal Financial Report”	Active	SF-425 Federal Financial Report 4040-0014
USDA/FNS	202202-0584-003CF	SF-425 Federal Financial Report (FNS)	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RHS	202202-0575-011CF	SF 425, Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	202202-0575-008CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-024CF	SF-270, “Request for Advance or Reimbursement”.	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-017CF	SF-425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
DOT/FMCSA	202202-2126-002CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	202202-0572-016CF	SF 425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
DOT/FAA	202202-2120-008CF	FAA Aircraft Pilot Workforce Development Grant Program - SF425 Financial Reporting Forms Request	Active	SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment, SF-425A Federal Financial Report Attachment
USDA/RBS	202202-0570-019CF	SF 425-V1	Active	SF-425 Federal Financial Report 4040-0014
USDA/NIFA	202202-0524-001CF	Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-023CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-022CF	SF425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
USDA/NRCS	202202-0578-006CF	Partnerships for Climate-Smart Commodities	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
USDA/RUS	202202-0572-015CF	SF 425, “Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	202202-0572-011CF	Federal Financial Report SF-425	Active	SF-425 Federal Financial Report 4040-0014
DOI/BIA	202202-1076-001CF	SF 425 - Federal Financial Report for BIA Use	Active	SF-425 Federal Financial Report 4040-0014
DOT/FAA	202202-2120-006CF	Aviation Research Grants Program	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-016CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-025CF	SF-425, Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202202-0570-020CF	SF 425, Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RUS	202202-0572-017CF	SF-425 A “Financial Status Report Attachment"	Active	SF-425A Federal Financial Report Attachment
USDA/RHS	202207-0575-001CF	SF 425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202207-0570-005CF	SF 425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202205-0570-010CF	SF 425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202209-0570-004CF	SF-425- Federal Financial Form	Active	SF-425 Federal Financial Report 4040-0014
USDA/FSA	202208-0560-007CF	Increasing Land, Capital, and Market Access Program	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
USDA/RHS	202208-0575-002CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202208-0570-003CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RHS	202208-0575-003CF	SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202208-0570-007CF	SF 425 - Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/FSA	202303-0560-003CF	Farm Labor Stabilization and Protection Pilot Grant Program	Active	SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
DOC/NTIA	202302-0660-005CF	Federal Financial Report (SF-425) for NTIA Broadband Programs	Active	SF-425 Federal Financial Report 4040-0014
DOC/NTIA	202203-0660-007CF	Federal Financial Report (SF-425) for NTIA Broadband Programs	Historical Active	SF-425 Federal Financial Report 4040-0014
VA	202307-2900-001CF	The SF-425 Federal Financial Report	Active	SF-425 Federal Financial Report 4040-0014
USDA/RBS	202306-0570-008CF	SF-425, “Federal Financial Report”	Active	SF-425 Federal Financial Report 4040-0014
DOC/NTIA	202202-0660-002CF	Federal Financial Report (SF-425) for 911 Grant Program	Historical Active	SF-425 Federal Financial Report 4040-0014

---

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: 01/24/2022

---