Standard Form 425a - Federal Financial Report Attachment

Download a blank fillable Standard Form 425a - Federal Financial Report Attachment in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Standard Form 425a - Federal Financial Report Attachment with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

FEDERAL FINANCIAL REPORT ATTACHMENT
(For reporting multiple grants)
1. Federal Agency and Organizational Element
2. Recipient Organization (Box 3 on Page 1)
to Which Report is Submitted (Box 1 on Page 1)
3a. DUNS Number (Box 4a on Page 1)
4. Reporting Period End Date (Box 9 on Page 1)
(Month, Day, Year)
3b. EIN (Box 4b on Page 1)
Page __________ of _________
5. List Information below for each grant covered by this report. Use additional pages if more space is required.
Federal Grant Number
Recipient Account Number
Cumulative Federal Cash Disbursement
$
$
0.00
TOTAL (Should correspond to the amount on Line 10b on Page 1)
Standard Form 425A
OMB Approval Number: 0348-0061
Expiration Date: 10/31/2011
Paperwork Burden Statement
According to the Paperwork Reduction Act, as amended, 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 0348-0061. Public reporting burden for this collection of information is estimated to average thirty (30) minutes per response,
including time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information
including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management
and Budget, Paperwork Reduction Project ( 0348-0061), Washington, DC 20503.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go