Regulatory Collection Filing

Federal Financial Report

RCF 201702-0524-067CF · 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/NIFA
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-02-07
Conclusion Date	2017-02-13
Agency Tracking No.	0524-0039
Related Links	OMB 4040-0014 · ICR 201509-4040-005 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Federal Financial Report

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/13/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/07/2017
Terms of Clearance:

Description of Agency Usage: To be used in the processing of federal grants (0524-0039)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Robert Martin 202 401-5924 [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		4,362	4,362	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	4,362	4,362
Annual Time Burden (Hours)	4,362	4,362
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: For common form usage.