Federal Financial Report Form 425 PDF Details

The Federal Financial Report Form 425 is a required form for all entities receiving more than $5,000 in federal funds. The form must be completed on an annual basis and submitted to the federal government. The purpose of the form is to provide information on how the entity uses federal funds. Completing the form can help ensure that taxpayer money is being used appropriately. The deadline for submitting the Federal Financial Report Form 425 is July 31st each year. If you are unsure about how to complete the form or have any other questions, please contact your nearest IRS office. Thank you for your cooperation in this matter.

QuestionAnswer
Form NameFederal Financial Report Form 425
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessf425 fillable 425 form federal financial report

Form Preview Example

FEDERAL FINANCIAL REPORT

(Follow form instructions)

1.

Federal Agency and Organizational Element

2. Federal Grant or Other Identifying Number Assigned by Federal Agency

Page

 

of

 

to Which Report is Submitted

(To report multiple grants, use FFR Attachment)

 

 

1

 

 

 

 

 

 

 

pages

3.

Recipient Organization (Name and complete address including Zip code)

 

 

 

 

4a. DUNS Number

4b. EIN

5.Recipient Account Number or Identifying Number (To report multiple grants, use FFR Attachment)

6.Report Type

□Quarterly

□Semi-Annual

□Annual

□Final

7.Basis of Accounting

□Cash □ Accrual

8.Project/Grant Period From: (Month, Day, Year)

To: (Month, Day, Year)

9.Reporting Period End Date (Month, Day, Year)

10.Transactions

Cumulative

(Use lines a-c for single or multiple grant reporting)

Federal Cash (To report multiple grants, also use FFR Attachment):

a.Cash Receipts

b.Cash Disbursements

c.Cash on Hand (line a minus b)

(Use lines d-o for single grant reporting)

0.00

Federal Expenditures and Unobligated Balance:

d.Total Federal funds authorized

e.Federal share of expenditures

f.Federal share of unliquidated obligations

g.Total Federal share (sum of lines e and f)

h.Unobligated balance of Federal funds (line d minus g)

0.00

0.00

Recipient Share:

i.Total recipient share required

j.Recipient share of expenditures

k.Remaining recipient share to be provided (line i minus j)

0.00

Program Income:

l.Total Federal program income earned

m.Program income expended in accordance with the deduction alternative

n.Program income expended in accordance with the addition alternative

o. Unexpended program income (line l minus line m or line n)

 

 

0.00

 

a. Type

b. Rate

c. Period From Period To

d. Base

e. Amount Charged

f. Federal Share

11. Indirect

 

 

 

 

 

 

Expense

 

 

 

 

 

 

 

 

 

 

 

 

g. Totals:

12.Remarks: Attach any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation:

13.Certification: By signing this report, I certify that it is true, complete, and accurate to the best of my knowledge. I am aware that

any false, fictitious, or fraudulent information may subject me to criminal, civil, or administrative penalities. (U.S. Code, Title 18, Section 1001)

a. Typed or Printed Name and Title of Authorized Certifying Official

c.Telephone (Area code, number and extension)

d.Email address

b. Signature of Authorized Certifying Official

e. Date Report Submitted (Month, Day, Year)

14. Agency use only:

Standard Form 425

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 1.5 hours 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. 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 ( 0348-0060), Washington, DC 20503.

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As for the fields of this particular PDF, this is what you want to do:

1. You need to fill out the Federal Financial Report Form 425 properly, thus be careful while filling out the segments containing these blank fields:

Filling out section 1 in Federal Financial Report Form 425

2. The third step would be to complete the next few blanks: g Total Federal share sum, Federal Expenditures and, a Type, b Rate, c Period From Period To, d Base, e Amount Charged, f Federal Share, Indirect Expense, Remarks Attach any explanations, g Totals, Certification By signing this, any false fictitious or fraudulent, c Telephone Area code number and, and b Signature of Authorized.

Certification By signing this, Indirect Expense, and a Type inside Federal Financial Report Form 425

Be extremely attentive when filling in Certification By signing this and Indirect Expense, since this is where a lot of people make errors.

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