Regulatory Collection Filing

Federal Financial Report (SF-425)

RCF 202202-1225-002CF · Host ICR 202112-4040-004 · OMB 4040-0014

RCF Summary

Host OMB Control No.	4040-0014
Host ICR Reference No.	202112-4040-004
Agency/Subagency	DOL/DM
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2022-02-25
Conclusion Date	2022-02-25
Related Links	OMB 4040-0014 · ICR 202112-4040-004 · Previous RCF 202201-1225-001CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Federal Financial Report (SF-425)

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: DOL grantees report the status of all funds awarded, matching funds, and, if applicable, program income received and expended, during the funding period.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Mara Blumenthal 202 693-8538 [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		2,140	2,140	0	Form and Instruction	4040-0014	SF-425 Federal Financial Report
SF-425A Federal Financial Report Attachment		2,140	2,140	0	Form and Instruction	4040-0014	Federal Financial Report Attachment (SF-425A)

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	4,280	4,280
Annual Time Burden (Hours)	4,280	4,280
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: