Regulatory Collection Filing

Federal Financial Report

RCF 202010-0570-006CF · Host ICR 201810-4040-013 · OMB 4040-0014

RCF Summary

Request for correction metadata
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	2020-11-19
Conclusion Date	2020-11-25
Related Links	OMB 4040-0014 · ICR 201810-4040-013 · Retrieve Notice of Action (NOA)

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Title: Federal Financial Report

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/25/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/19/2020
Terms of Clearance:

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Description of Agency Usage: This is the standard form used by the grantee to confirm that funds are being spent in conformity with the budget and work plan. This Form is used with OMB No. 0570-0067

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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		1,193	1,193	0	Form and Instruction	4040-0014	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	1,193	1,193
Annual Time Burden (Hours)	1,193	1,193
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: Agency is requesting approval to use the form that will result in 1,204 burden hours.