Regulatory Collection Filing

Federal Financial Report SF 425

RCF 201701-0572-017CF · 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/RUS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-01-09
Conclusion Date	2017-01-12
Agency Tracking No.	0572-0138
Related Links	OMB 4040-0014 · ICR 201509-4040-005 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Federal Financial Report SF 425

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/12/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/09/2017
Terms of Clearance:

Description of Agency Usage: Revolving Fund Program (0572-0138) grant recipients must use this form to report the status of grant funds on a quarterly basis.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Rebecca Hunt 202 205-3660 [email protected]

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		12	12	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	12	12
Annual Time Burden (Hours)	12	12
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: Common form usage.