Regulatory Collection Filing

SF-425- Federal Financial Form

RCF 202209-0570-004CF · 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	USDA/RBS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2022-09-13
Conclusion Date	2022-09-13
Agency Tracking No.	0570-0052
Related Links	OMB 4040-0014 · ICR 202112-4040-004 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-425- Federal Financial Form

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion 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:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-425 Federal Financial Report 4040-0014		60	60	0	Form and Instruction	4040-0014	SF-425 Federal Financial Report

RCF Summary of Burden:

	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	60	60
Annual Time Burden (Hours)	60	60
Annual Cost Burden (Dollars)	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.