Regulatory Collection Filing

SF 425-V1

RCF 201906-0570-005CF · 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	USDA/RBS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2019-06-26
Conclusion Date	2019-07-02
Agency Tracking No.	0570-0052
Related Links	OMB 4040-0014 · ICR 201810-4040-013 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF 425-V1

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/02/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/26/2019
Terms of Clearance:

Description of Agency Usage: Federal Financial Report

Authorizing Statute(s): None

Annual Cost to Federal Government: $2,340
Agency Contact: Robin Jones 202 772-1172 [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		20	20	0	Form and Instruction	4040-0014	SF-425 Federal Financial Report

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	20	20
Annual Time Burden (Hours)	20	20
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: There is an increase in burden hours per applicant from approximately 18 hours to 22.5 hours.