View RCF - OIRA Conclusion

Title: SF-425 A “Financial Status Report Attachment"

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 06/23/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2025
Terms of Clearance:

Description of Agency Usage: This form is submitted by grant recipients and is used to confirm that funds are being spent in conformity with the budget and work plan. (0572-0136)

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-425A Federal Financial Report Attachment		40	40	0	Form and Instruction	4040-0014	Federal Financial Report Attachment (SF-425A)

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	40	40
Annual Time Burden (Hours)	40	40
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:

202506-0572-015CF