View RCF - OIRA Conclusion

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

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/20/2021
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 kimble.brown@wdc.usda.gov

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	Change Due to Agency Discretion
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: This is a request to use the common form resulting in the use of 40 burden hours.