Consolidated Federal Financial Report (FFR)

Form Approved

OMB No. 4040-0017

Exp. Date 03/31/2019

HHS DATA Act Program Management Office (DAP)

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Consolidated FFR Questionnaire

Survey regarding the consolidated submission process for the Federal Financial Report (referred to the Consolidated FFR)

Please circle the answer that reflects your opinions as accurately as possible

1. Reporting burden may be decreased with the submission of the completeFederal Financial Report (FFR) through the Payment Management System (PMS.)

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

2. Submitting the complete FFR through the PMS may result in an increase in reporting efficiencies.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

3. I anticipate that my reconciliation process between payments received and expenses reported may improve with the submission of the FFR in PMS.
   
   
   

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

4. The accuracy of financial data (grant expenditures, payments received) may improve with the submission of the FFR in PMS.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Please circle Yes or No for the following questions

5. ­­­Do you believe submitting the FFR through the PMS allows for time savings during the reporting process?
   
   
   

Yes

No

6. Do you believe that submitting the FFR through the PMS allows for greater accuracy during the reporting process?

Yes

No

7. How much time did you spend completing your FFR submission through the pilot process?

8. The pilot process was _________________ than using the usual FFR submission process.

Significantly Faster

Faster

The same

Slower

Significantly slower

Please provide a brief written response

9. Is there a benefit to using the pilot FFR submission process? If so, what is that benefit in your own words?

10. Did you encounter issues submitting the FFR through the piloted FRR submission process? If so, please describe them in your own words.

Demographics

1. Name: _______________________

2. Email: _________________________

3. Organization Name: ________________________

4. Position/Role: _______________________

5. Department/Unit: ________________________

6. Department/Unit Approximate Federal Award Value (FY 2015, October 1, 2014 – September 30, 2015): ________________________

7. Organization Approximate Federal Award Value (FY 2015, October 1, 2014 – September 30, 2015): ________________________

8. Which type of entity do you represent?

Federal Government

State and Local Government

Non-Governmental Organization (NGO)

For Profit Organization

Non-Profit Organization

University

Native American Tribe

Other

9. If Other, Please Explain: ____________________________________

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 4040-0017. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

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