View RCF - OIRA Conclusion

Title: Standard Form 270, "Request for Advance or Reimbursement"

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 06/20/2025
	Date Received in OIRA: 06/20/2025
Terms of Clearance:

Description of Agency Usage: This form is used by the grantee to request advances or reimbursement of cash outlays. This form OMB No. is 4040-0012. This PRA package OMB No. is 0575-0180

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Lisa Day 971 313-4750 lisa.day@usda.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
4040-0012 SF-270 Request for Advance or Reimbursement Form		90	90	0	Form	4040-0012	SF-270 Request for Advance or Reimbursement Form

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: