Regulatory Collection Filing

Financial Status Report (SF-425)

RCF 201804-0572-047CF · 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	2018-07-23
Conclusion Date	2018-08-01
Related Links	OMB 4040-0014 · ICR 201509-4040-005 · Retrieve Notice of Action (NOA)

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Title: Financial Status Report (SF-425)

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/01/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/23/2018
Terms of Clearance:

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Description of Agency Usage: This form is submitted by grant recipients to report that funds are being used in conformity with budget and work plan. (0752-0136)

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Rebecca Hunt 202 205-3660 [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		5	5	0	Form	4040-0014 SF-425 Federal Financial Report	SF-425 Federal Financial Report
SF-425 Federal Financial Report 4040-0014		35	35	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	40	40
Annual Time Burden (Hours)	40	40
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 for common forms.