View RCF - OIRA Conclusion

Title: Federal Financial Report

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:

Description of Agency Usage: Household Water System Program (0572-0139) grantees submit this form quarterly.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Rebecca Hunt 202 205-3660 [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		44	44	0	Form and Instruction	4040-0014	SF-425 Federal Financial Report

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	44	44
Annual Time Burden (Hours)	44	44
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:

202202-0572-013CF