Regulatory Collection Filing

Request to use SF-425 - Federal Financial Report- State, Local & Tribal Govt. for OSMRE

RCF 201902-1029-004CF · Host ICR 201810-4040-013 · OMB 4040-0014

RCF Summary

Host OMB Control No.	4040-0014
Host ICR Reference No.	201810-4040-013
Agency/Subagency	DOI/OSMRE
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2019-02-22
Conclusion Date	2019-02-22
Related Links	OMB 4040-0014 · ICR 201810-4040-013 · Previous RCF 201605-1029-005CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Request to use SF-425 - Federal Financial Report- State, Local & Tribal Govt. for OSMRE

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 02/22/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/22/2019
Terms of Clearance:

Description of Agency Usage: Request to use SF-425 - Federal Financial Report common form for the State, Local, and Tribal Government public on behalf of OSMRE.

Authorizing Statute(s): None

Annual Cost to Federal Government: $4,896
Agency Contact: John Trelease 202 208-2783 [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		194	194	0	Form and Instruction	4040-0014	SF-425 Federal Financial Report

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	194	194
Annual Time Burden (Hours)	194	194
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: