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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.