View RCF - Agency Submission

Title: Federal Financial Report (SF-425)

Type of RCF: RCF New

Description of Agency Usage: DOL grantees report the status of all funds awarded, matching funds, and, if applicable, program income received and expended, during the funding period.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Mara Blumenthal 202 693-8538 blumenthal.mara@dol.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
SF-425 Federal Financial Report 4040-0014		2,140	2,140	0	Form and Instruction	4040-0014	SF-425 Federal Financial Report
SF-425A Federal Financial Report Attachment		2,140	2,140	0	Form and Instruction	4040-0014	Federal Financial Report Attachment (SF-425A)

RCF Summary of Burden:

	Total Request	Change Due to Agency Discretion
Annual Number of Responses	4,280	4,280
Annual Time Burden (Hours)	4,280	4,280
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: The burden reflects DOL's estimate of 535 grantees that use the SF-425.

202201-1225-001CF