SF425_3_0-V3.0-Instructions.pdf

OMB 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

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

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

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

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.