202209-0570-004CF RCF OMB: 4040-0014 
OMB.report  
 
OMB 4040-0014  
 
RCF 202209-0570-004CF  
 
 ( RCF New ) 
 
 
Array
(
    [refNbr] => 202209-0570-004CF
    [obm] => 4040-0014
    [icr] => 202112-4040-004
    [status] => Active
    [agency] => USDA/RBS
    [title] => SF-425- Federal Financial Form
    [typeRCF] => RCF New
    [oiraAction] => Approved without change
    [oiraNOA] => 438056
    [termsOfClearance] =>  
    [previousRCF] => 
    [agencyTrackingNo] => 0570-0052
    [conclusionDate] => 2022-09-13
    [dateReceived] => 2022-09-13
)
Document
    
	View RCF
	    
		     - OIRA Conclusion
		
		
 
    
        
            
            
        
            
                
                    RCF ID:  202209-0570-004CFPrevious RCF ID:   
                
                    Status:  
						Active
                    Expiration Date:  02/28/2025 
                
                    Agency/Subagency:  USDA/RBSAgency Tracking No:  0570-0052 
                
                    Host OMB Control No:  4040-0014Host ICR Reference No:  202112-4040-004 
            
            
                
                    Title:  SF-425- Federal Financial Form 
            
            
	            
	                
	                Type of RCF:  RCF New
	                 
	             
 
         
     
                
                    OIRA Conclusion Action:  Approved without changeConclusion Date:  
                            09/13/2022
                     
                
                    
                    	Retrieve Notice of Action (NOA) 
                     
                    
                        
                                              Date Received in OIRA: 
						
                         
                        09/13/2022
                     
                 
                
                    Terms of Clearance:   
                     
    
            
 
    
         
             Description of Agency Usage:  
             	This form is needed to provide a periodic summary of project costs incurred, with semi-annual and final reports required.  It is necessary for the grantee to keep complete and accurate accounting records as evidence that the grant funds were used properly.  0570-0052
              
    
 
    
			
				
					Authorizing Statute(s): 
			
				None
			
			
			 
			 
        
 
        
	
    
        Annual Cost to Federal Government:  
         
    
        
            Agency Contact:  
            
				Crystal Pemberton 202 556-8038 [email protected] 
					 
     
	
 
	Common Form Information Collections (IC) in this RCF: 
        
 
				
				
					
						  
						Total Approved 
						Previously Approved 
						Change Due to New Statute 
						Change Due to Agency Discretion 
						Change Due to Adjustment in Estimate 
						Change Due to Potential Violation of the PRA 
					 
					
						Annual Number of Responses 
						60 
						0 
						0 
						0 
						60 
						0 
					 
					
						Annual Time Burden (Hours) 
						60 
						0 
						0 
						0 
						60 
						0 
					 
					
						Annual Cost Burden (Dollars) 
						0 
						0 
						0 
						0 
						0 
						0 
					 
				
				
					
						
							Burden increases because of Program Change due to Agency Discretion: 
							No
						 
					 
					
						
							Burden Increase Due to: 
							
						 
					 
					
						
							Burden decreases because of Program Change due to Agency Discretion: 
							No
						 
					 
					
						
							Burden Reduction Due to: 
							
						 
					 
					
						
							Short Statement: 
							The agency is requesting to use the form which will result in a program change of 60 burden hours.