Regulatory Collection Filing

SF-425 A “Financial Status Report Attachment"

RCF 202105-0572-015CF · 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/RUS
Status	Received in OIRA
Type of RCF	RCF New
OIRA Conclusion Action	View RCF focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent;
Date Received in OIRA	1969-12-31
Conclusion Date	1969-12-31
Agency Tracking No.	0572-0136
Related Links	OMB 4040-0014 · ICR 201810-4040-013

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Title: SF-425 A âFinancial Status Report Attachment"

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Type of RCF: RCF New

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Description of Agency Usage: This form is submitted by grant recipients and is used to confirm that funds are being spent in conformity with the budget and work plan. (0572-0136)

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 [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-425A Federal Financial Report Attachment		40	40	0	Form and Instruction	4040-0014	Federal Financial Report Attachment (SF-425A)

RCF Summary of Burden:

table that charts list of burden
	Total Request	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: This is a request to use the common form resulting in the use of 40 burden hours.