Information Collection

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

IC 267421 under ICR 202405-0970-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form SF-425 Supplement Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	Form and Instruction
SF-425 Supplemental Instructions.pdf	Instruction
SF-425 Supplemental Instructions.pdf	Instruction
SF-425 Supplement Refugee Support Services Federal Financial Report (SF-42 SF-425 Report and Instructions.pdf	Form and Instruction
SF-425 Supplement Refugee Support Services Federal Financial Report (SF-42 SF-425 Report and Instructions.pdf	Form and Instruction
ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx Non-Discretionary Financial Form GenIC - RSS Federal Financial Report (SF-425) Supplemental Data Collection	IC Document
ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx Non-Discretionary Financial Form GenIC - 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 - 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 - RSS Federal Financial Report (SF-425) Supplemental Data Collection	IC Document

IC Title:

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

Agency IC Tracking Number:

ORR-Ref

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	SF-425 Supplement	Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	SF-425 Report and Instructions.pdf		Yes	Yes	Fillable Fileable
Instruction			SF-425 Supplemental Instructions.pdf		Yes	Yes	Printable Only

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
	Requested	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
Non-Discretionary Financial Form GenIC - RSS Federal Financial Report (SF-425) Supplemental Data Collection	ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx	05/02/2024
FRN - RSS Federal Financial Report (SF-425) Supplemental Data Collection	14 Day_ORR SF-425 Supplement_GenICGrants_0970-0510_3.21.23.pdf	05/02/2024

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