Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection

Generic Clearance for Financial Reports used for ACF Mandatory Grant Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0510 can be found here:

Documents and Forms

Document Name Document Type
SF-425 Supplemental Instructions.pdf Instruction
SF-425 Supplemental Instructions.pdf Instruction
ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx GenIC Submission Form - RSS Federal Financial Report (SF-425) Supplemental Data Collection IC Document
ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx GenIC Submission Form - RSS Federal Financial Report (SF-425) Supplemental Data Collection IC Document
14 Day_ORR SF-425 Supplement_GenICGrants_0970-0510_3.21.23.pdf FRN for 14-Day Comment Period IC Document
14 Day_ORR SF-425 Supplement_GenICGrants_0970-0510_3.21.23.pdf FRN for 14-Day Comment Period IC Document
SF-425 Report and Instructions.pdf SF-425 Report and Instructions (OMB #4040-0014) IC Document
SF-425 Report and Instructions.pdf SF-425 Report and Instructions (OMB #4040-0014) IC Document

Information Collection (IC) Details

IC Title:	Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection	Agency IC Tracking Number:	ORR

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			SF-425 Supplemental Instructions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	848	848
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Submission Form - RSS Federal Financial Report (SF-425) Supplemental Data Collection	ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx	04/07/2023
FRN for 14-Day Comment Period	14 Day_ORR SF-425 Supplement_GenICGrants_0970-0510_3.21.23.pdf	04/07/2023
SF-425 Report and Instructions (OMB #4040-0014)	SF-425 Report and Instructions.pdf	04/07/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.