Regulatory Collection Filing

SF-425 Federal Financial Report

RCF 201607-0575-012CF · Host ICR 201509-4040-005 · OMB 4040-0014

RCF Summary

Host OMB Control No.	4040-0014
Host ICR Reference No.	201509-4040-005
Agency/Subagency	USDA/RHS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-01-03
Conclusion Date	2017-01-09
Agency Tracking No.	0575-0198
Related Links	OMB 4040-0014 · ICR 201509-4040-005 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-425 Federal Financial Report

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/09/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/03/2017
Terms of Clearance:

Description of Agency Usage: Grant recipients in the Technical Assistance Programs (0575-0198) must report the status of grant funds for TAT or SWM on the SF-425 on a quarterly basis. The use of this form complies with OMB Circular A-110.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Nathan Chitwood 573 876-0965

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-425 Federal Financial Report 4040-0014		68	68	0	Form	4040-0014 SF-425 Federal Financial Report	SF-425 Federal Financial Report
SF-425 Federal Financial Report 4040-0014		76	76	0	Form	4040-0014 SF-425 Federal Financial Report	SF-425 Federal Financial Report

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	144	144
Annual Time Burden (Hours)	144	144
Annual Cost Burden (Dollars)	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: Usage of common form.