HomeMy WebLinkAboutSF-425 InstructionsOMB Number: 4040-0014 1
OMB Expiration Date: 02/28/2025
Federal Agency Form Instructions
Form Identifiers Information
Agency Owner Grants.gov
Form Name Federal Financial Report
Form Version Number 3.0
OMB Number 4040-0014
OMB Expiration Date 02/28/2025
Form Field Instructions
Field
Number
Field Name Required or
Optional
Information
1. Federal Agency
and
Organizational
Element to
Which Report
is Submitted
Required Enter Federal Agency and Organizational Element
for which the report is submitted. This field is
required.
2. Federal Grant
or Other
Identifying
Number
Assigned by
Federal Agency
(To report
multiple
grants, use FFR
Attachment)
Required Enter Federal Grant or Other Identifying Number
Assigned by Federal Agency. (To report multiple
grants, use FFR Attachment) This field is required.
3-1. Recipient
Organization
Name
Required Enter the legal name of the applicant that will
undertake the assistance activity. This
3-2. Street1 Required Enter the first line of the Street Address. This field
is required.
3-3. Street2 Optional Enter the second line of the Street Address.
3-4. City Required Enter the City. This field is required.
3-5. County Optional Enter the County.
3-6. State Required Select the state, US possession or military code
from the provided list.
3-7. Province Optional Enter the Province.
3-8. Country Required Select the Country from the provided list. This
field is required.
OMB Number: 4040-0014 2
OMB Expiration Date: 02/28/2025
Field
Number
Field Name Required or
Optional
Information
3-9. Zip/Postal
Code
Required Enter the Postal Code (e.g., ZIP code).
4a. UEI Required Enter the UEI of the applicant organization. This
field is required
4b. EIN Required Enter either TIN or EIN as assigned by the Internal
Revenue Service. If your organization is not in the
US, enter 44-4444444. This field is required.
5. Recipient
Account
Number or
Identifying
Number
Optional Enter Recipient Account Number or Identifying
Number.
6. Report Type Optional Select one.
7. Basis of
Accounting
Optional Select one.
8. Project/Grant
Period From
Required Enter the Project/Grant Period From Date as
mm/dd/yyyy. This field is required.
8-1. Project/Grant
Period To
Required Enter the Project/Grant Period To Date as
mm/dd/yyyy. This field is required.
9. Report Period
End
Required Enter the Reporting Period End Date as
mm/dd/yyyy. This field is required.
10a. Cash Receipts Optional Enter the amount of the federal cash receipts.
10b. Cash
Disbursements
Optional Enter the amount of the federal cash
disbursements.
10c. Cash on Hand
(line a minus b)
Optional Federal cash on hand. This is a calculated field
10d. Total Federal
funds
authorized
Optional Enter the total federal funds that are authorized.
10e. Federal share
of
expenditures
Optional Enter the federal share of the expenditures.
10f. Federal share
of unliquidated
obligations
Optional Enter the Federal share of the unliquidated
obligations.
10g. Total Federal
share (sum of
lines e and f)
Optional Total Federal share (sum of lines e and f). This is a
calculated field.
OMB Number: 4040-0014 3
OMB Expiration Date: 02/28/2025
Field
Number
Field Name Required or
Optional
Information
10h. Unobligated
balance of
Federal Funds
(line d minus g)
Optional Unobligated balance of Federal Funds (line d
minus g). This is a calculated field.
10i. Total recipient
share required
Optional Enter total recipient shared that is required.
10j. Recipient share
of
expenditures
Optional Enter the recipient's share of expenditures
10k. Remaining
recipient share
to be provided
(i minus j)
Optional Remaining recipient share to be provided (line i
minus j). This is a calculated field.
10l. Total Federal
program
income earned
Optional Enter the total federal program income earned.
10m. Program
Income
expended in
accordance
with the
deduction
alternative
Optional Enter the amount of program income that was
used to reduce the Federal share of the total
project costs.
10n. Program
Income
expended in
accordance
with the
addition
alternative
Optional Enter the amount of program income that was
added to funds committed to the total project
costs and expended to further eligible project or
program activities.
10o. Unexpended
program
income (line l
minus line m
and line n)
Optional Enter Unexpended program income (line l minus
line m and line n).
11. Indirect
Expense
Optional
11a. Type Optional Enter the type of indirect expense.
11b. Rate Optional Enter the rate for the given indirect expense.
11c-1. Period From Optional Enter the start date of the indirect expense.
11c-2. Period To Optional Enter the end date of the indirect expense.
OMB Number: 4040-0014 4
OMB Expiration Date: 02/28/2025
Field
Number
Field Name Required or
Optional
Information
11d. Base Optional Enter base amount for the type of indirect
expense.
11e. Amount
Charged
Optional Enter amount charged for the type of indirect
expense.
11f. Federal Share Optional Enter the Federal Share for the type of indirect
expense.
11g-1. Totals Optional Calculated. Sum of Base
11g-2. Totals Optional Calculated. Sum of Amount Charged.
11g-3. Totals Optional Calculated. Sum of Federal Share.
12. Remarks:
Attach any
explanations
deemed
necessary or
information
required by
Federal
sponsoring
agency in
compliance
with governing
legislation:
Optional Attach any explanations deemed necessary or
information required by Federal sponsoring
agency in compliance with governing legislation.
13a. Name and Title
of Authorized
Certifying
Official
Required
13a-1. Prefix Optional Select the Prefix from the provided list or enter a
new Prefix not provided on the list.
13a-2. First Name Required Enter the First Name. This field is required.
13a-3 Middle Name Optional Enter the Middle Name.
13a-4. Last Name Required Enter the Last Name. This field is required.
13a-5. Suffix Optional Select the Suffix from the provided list or enter a
new Suffix not provided on the list.
13a-6. Title Required Enter the position title. This field is required.
13b. Signature of
Authorized
Certifying
Official
Required Report is to be signed by the Authorized
Certifying Official.
13c. Telephone Required Enter the daytime Telephone Number. This field is
required.
13d. Email Address Required Enter a valid Email Address. This field is required.
OMB Number: 4040-0014 5
OMB Expiration Date: 02/28/2025
Field
Number
Field Name Required or
Optional
Information
13e. Date Report
Submitted
Required Enter the date this report was submitted as
mm/dd/yyyy. This field is required.