Regulatory Collection Filing

SF-425 Federal Financial Report

RCF 201707-0572-030CF · Host ICR 201509-4040-005 · OMB 4040-0014

RCF Summary

Request for correction metadata
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	2017-09-13
Conclusion Date	2017-09-19
Agency Tracking No.	0572-0112
Related Links	OMB 4040-0014 · ICR 201509-4040-005 · Retrieve Notice of Action (NOA)

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Title: SF-425 Federal Financial Report

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/13/2017
Terms of Clearance:

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Description of Agency Usage: Technical Assistance Program (0575-0112) applicants use this form to file reports.

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Thomas Dickson 202 690-4492 [email protected]

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-425 Federal Financial Report 4040-0014		36	36	0	Form	4040-0014 SF-425 Federal Financial Report	SF-425 Federal Financial Report
SF-425 Federal Financial Report 4040-0014		144	144	0	Form	4040-0014 SF-425 Federal Financial Report	SF-425 Federal Financial Report

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	180	180
Annual Time Burden (Hours)	180	180
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: Use of common form.