Information Collection

SF-269A Financial Status Report (Short Form)

IC 750 under ICR 200810-0348-003 · OMB 0348-0038.

Documents and Forms

Document Name Document Type
Form SF-269A SF-269A Financial Status Report (Short Form) Form and Instruction
SF-269A Financial Status Report (Short Form) sf269a.pdf www.whitehouse.gov/omb/grants/sf269a.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SF-269A Financial Status Report (Short Form)	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF-269A	Financial Status Report (Short Form)	sf269a.pdf	http://www.whitehouse.gov/omb/grants/sf269a.pdf	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1	-100,000	100,000	1
Annual IC Time Burden (Hours)	1	0	0	1
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.