Information Collection

Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection

IC 259575 under ICR 202303-0970-002 · OMB 0970-0510.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SF-425 Supplemental Instructions.pdf	Instruction
ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx GenIC Submission Form - RSS Federal Financial Report (SF-425) Supplemental Data Collection	IC Document
14 Day_ORR SF-425 Supplement_GenICGrants_0970-0510_3.21.23.pdf FRN for 14-Day Comment Period	IC Document
SF-425 Report and Instructions.pdf SF-425 Report and Instructions (OMB #4040-0014)	IC Document

IC Title:

Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection

Agency IC Tracking Number:

ORR

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	848	848
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Submission Form - RSS Federal Financial Report (SF-425) Supplemental Data Collection		04/07/2023
FRN for 14-Day Comment Period		04/07/2023
SF-425 Report and Instructions (OMB #4040-0014)		04/07/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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