Regulatory Collection Filing

Federal Financial Report SF 425

RCF 202202-0572-010CF · Host ICR 202112-4040-004 · OMB 4040-0014

RCF Summary

Request for correction metadata
Host OMB Control No.	4040-0014
Host ICR Reference No.	202112-4040-004
Agency/Subagency	USDA/RUS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2022-02-25
Conclusion Date	2022-02-25
Agency Tracking No.	0572-0138
Related Links	OMB 4040-0014 · ICR 202112-4040-004 · Previous RCF 201902-0572-006CF · Retrieve Notice of Action (NOA)

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Title: Federal Financial Report SF 425

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Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 02/25/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/25/2022
Terms of Clearance:

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Description of Agency Usage: Revolving Fund Program (0572-0138) grant recipients must use this form to report the status of grant funds on a quarterly basis.

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Rebecca Hunt 202 205-3660 [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		12	12	0	Form and Instruction	4040-0014	SF-425 Federal Financial Report

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Previously Approved
Annual Number of Responses	12	12
Annual Time Burden (Hours)	12	12
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: