Regulatory Collection Filing

SF 425, “Federal Financial Report

RCF 202006-0572-005CF · 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/RUS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2020-09-03
Conclusion Date	2020-09-09
Agency Tracking No.	0572-0112
Related Links	OMB 4040-0014 · ICR 201810-4040-013 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF 425, âFederal Financial Report

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/09/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/03/2020
Terms of Clearance:

Description of Agency Usage: Grant recipients must report the status of grant funds for TAT or SWM on the SF-425 on a quarterly basis. The use of this form complies with OMB Circular A-110. (0572-0112)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Pamela Bennett 202 720-9639 [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		65	65	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	65	65
Annual Time Burden (Hours)	65	65
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: The collection burdens associated with this collection is for the agency use of the form.,