OMB
.report
Search
Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection
Generic Clearance for Financial Reports used for ACF Non-Discretionary Grant Programs
OMB: 0970-0510
IC ID: 267421
OMB.report
HHS/ACF
OMB 0970-0510
ICR 202409-0970-013
IC 267421
( )
Documents and Forms
Document Name
Document Type
Form SF-425 Supplement
Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection
Form and Instruction
SF-425 Supplemental Instructions.pdf
Instruction
SF-425 Supplement Refugee Support Services Federal Financial Report (SF-42
SF-425 Report and Instructions.pdf
Form and Instruction
ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx
Non-Discretionary Financial Form GenIC - 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 - RSS Federal Financial Report (SF-425) Supplemental Data Collection
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection
Agency IC Tracking Number:
ORR-Ref
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SF-425 Supplement
Refugee Support Services Federal Financial Report (SF-425) Supplemental Data Collection
SF-425 Report and Instructions.pdf
Yes
Yes
Fillable Fileable
Instruction
SF-425 Supplemental Instructions.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
212
0
0
0
0
212
Annual IC Time Burden (Hours)
848
0
0
0
0
848
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Non-Discretionary Financial Form GenIC - RSS Federal Financial Report (SF-425) Supplemental Data Collection
ORR-RSSS Mandatory Grant Submission Form_final_4.7.22.docx
05/02/2024
FRN - RSS Federal Financial Report (SF-425) Supplemental Data Collection
14 Day_ORR SF-425 Supplement_GenICGrants_0970-0510_3.21.23.pdf
05/02/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.