Regulatory Collection Filing

Standard Form 425, “Federal Financial Report"

RCF 202506-0575-012CF · Host ICR 202502-4040-007 · OMB 4040-0014

RCF Summary

Host OMB Control No.	4040-0014
Host ICR Reference No.	202502-4040-007
Agency/Subagency	USDA/RHS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2025-06-23
Conclusion Date	2025-06-23
Agency Tracking No.	0575-0180
Related Links	OMB 4040-0014 · ICR 202502-4040-007 · Previous RCF 202411-0575-006CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Standard Form 425, âFederal Financial Report"

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: The Federal Financial Report is required on a quarterly basis. This form OMB No. is 4040-0014. This PRA package No is 0575-0180.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Lisa Day 971 313-4750 [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		90	90	0	Form and Instruction	4040-0014	SF-425 Federal Financial Report
SF-425 Federal Financial Report 4040-0014		90	90	0	Other

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	90	90
Annual Time Burden (Hours)	90	90
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: