View Information Collection Request (ICR) Package
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Brief and OIRA conclusion
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IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
4040-0014
ICR Reference No:
201810-4040-013
Status:
Historical Active
Previous ICR Reference No:
201509-4040-005
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
SF-425 Federal Financial Report 4040-0014 and SF-425A Federal Financial Report Attachment
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/22/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/10/2018
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2022
36 Months From Approved
02/28/2019
Responses
200,000
0
100,000
Time Burden (Hours)
200,000
0
100,000
Cost Burden (Dollars)
0
0
0
Abstract:
The forms are a standard government wide forms for grantees to use in reporting financial status and cash disbursement under grants.
Authorizing Statute(s):
PL:
Pub.L. 106 - 107 3(2)
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 19071
05/01/2018
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 44891
09/25/2018
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
SF-425 Federal Financial Report 4040-0014
4040-0014
SF-425 Federal Financial Report
SF-425A Federal Financial Report Attachment
4040-0014
Federal Financial Report Attachment (SF-425A)
ICR Summary of Burden
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
200,000
100,000
0
100,000
0
0
Annual Time Burden (Hours)
200,000
100,000
0
100,000
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
The burden has increased by 100,000 hours due to the addition of the SF-425 Federal Financial Report Attachment IC to this OMB Control Number.
Annual Cost to Federal Government:
$7,800,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Ed Calimag 202 690-7569 Ed.Calimag@hhs.gov
Common Form ICR:
Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.
Description/Changes for Common Form Usage:
The forms are used by federal grant-making agencies for use of grant reporting from awardees
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
USDA/RUS
202006-0572-005CF
SF 425, “Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
202010-0570-006CF
Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/FNS
202106-0584-007CF
Federal Financial Report (SF-425)
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
202105-0570-004CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RHS
202102-0575-004CF
SF 425, Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
202105-0570-012CF
SF425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
USDA/AMS
201910-0581-007CF
4040-0014 Federal Financial Report SF-425
Active
SF-425 Federal Financial Report 4040-0014
USDA/RUS
202009-0572-005CF
SF 425 - Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/NRCS
202202-0578-005CF
Partnerships for Climate-Smart Commodities
Active
SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
USDA/RBS
202110-0570-006CF
SF-270, “Request for Advance or Reimbursement”.
Active
SF-425 Federal Financial Report 4040-0014
USDA/RHS
202107-0575-002CF
SF 425 - Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/FSA
201902-0560-001CF
SF-425 Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
202110-0570-014CF
SF-270, Request for Advance or Reimbursement
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
202110-0570-015CF
SF-425, Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RUS
201902-0572-007CF
Federal Financial Report SF-425
Active
SF-425 Federal Financial Report 4040-0014
DOT/FAA
201902-2120-001CF
Aviation Research Grants Program
Active
SF-425 Federal Financial Report 4040-0014
USDA/FNS
201902-0584-002CF
SF-425 Federal Financial Report (FNS)
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RHS
201902-0575-004CF
SF-425 -- Financial Status Report
Active
SF-425 Federal Financial Report 4040-0014
DOI/BLM
201902-1004-002CF
BLM - 425, Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
DOI/NPS
201902-1024-001CF
SF-425 - Federal Financial Report common form usage for NPS.
Active
SF-425 Federal Financial Report 4040-0014
USDA/AMS
201902-0581-002CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
DOI/BIA
201902-1076-001CF
SF 425 - Federal Financial Report for BIA Use
Active
SF-425 Federal Financial Report 4040-0014
USDA/RUS
201902-0572-006CF
Federal Financial Report SF 425
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
201902-0570-010CF
SF-425, “Federal Financial Report”
Active
SF-425 Federal Financial Report 4040-0014
USDA/FS
201902-0596-002CF
Federal Financial Report (SF-425)
Active
SF-425 Federal Financial Report 4040-0014
USDA/RHS
201902-0575-007CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
DOT/FMCSA
201902-2126-002CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RUS
201902-0572-010CF
Financial Status Report (SF-425)
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RUS
201902-0572-008CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/RBS
201902-0570-008CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RHS
201902-0575-005CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
DOC/NTIA
201902-0660-002CF
Federal Financial Report (SF-425) for 911 Grant Program
Active
SF-425 Federal Financial Report 4040-0014
USDA/AMS
201902-0581-003CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
DOT/FAA
201902-2120-002CF
Aviation Research Grants Program
Active
SF-425 Federal Financial Report 4040-0014
USDA/RUS
201902-0572-009CF
Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
201902-0570-009CF
SF-425 - Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/APHIS
201902-0579-004CF
Federal Financial Report (4040-0014)
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014
USDA/NIFA
201902-0524-001CF
Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/AMS
201902-0581-001CF
Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
DOI/OSMRE
201902-1029-003CF
Request to use SF-425 - Federal Financial Report - Private Sector for OSMRE
Active
SF-425 Federal Financial Report 4040-0014
DOI/ONRR
201902-1012-001CF
SF-425 Federal Financial Report usage for ONRR
Active
SF-425 Federal Financial Report 4040-0014
DOI/OSMRE
201902-1029-004CF
Request to use SF-425 - Federal Financial Report- State, Local & Tribal Govt. for OSMRE
Active
SF-425 Federal Financial Report 4040-0014
DOI/FWS
201902-1018-001CF
SF-425 Federal Financial Report usage for USFWS
Active
SF-425 Federal Financial Report 4040-0014
USDA/RHS
201902-0575-006CF
SF-425 Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RHS
202201-0575-002CF
SF 425 - “Federal Financial Report” (OMB No. 4040-0014)
Active
SF-425 Federal Financial Report 4040-0014
USDA/RUS
202105-0572-015CF
SF-425 A “Financial Status Report Attachment"
Active
SF-425A Federal Financial Report Attachment
USDA/RUS
202105-0572-014CF
SF-425, “Financial Status Report”
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
201906-0570-005CF
SF 425-V1
Active
SF-425 Federal Financial Report 4040-0014
USDA/FSA
202011-0560-001CF
SF-425 Financial Report
Active
SF-425 Federal Financial Report 4040-0014
USDA/RBS
202003-0570-006CF
SF 425, Federal Financial Report
Active
SF-425 Federal Financial Report 4040-0014
DOT/FAA
202004-2120-016CF
FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - SF425 Forms Request
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment, SF-425A Federal Financial Report Attachment
DOT/FAA
202004-2120-004CF
FAA Aircraft Pilot Workforce Development Grant Program - SF425 Financial Reporting Forms Request
Active
SF-425 Federal Financial Report 4040-0014, SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment, SF-425A Federal Financial Report Attachment
EAC
202006-3265-002CF
Election Assistance Commission Federal Financial Report (EAC-FFR)
Active
SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
DOL/DM
202201-1225-001CF
Federal Financial Report (SF-425)
Active
SF-425 Federal Financial Report 4040-0014, SF-425A Federal Financial Report Attachment
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/10/2018
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