SF-425 for SE-B: FY2022 report-through 09/30/2022: Submission #102

SF-425: Federal Financial Report

Federal Financial Report Instructions

Report Submissions

1) Recipients will be instructed by Federal agencies to submit the Federal Financial Report (FFR) to a single location, except when an automated payment management reporting system is utilized. In this case, a second submission location may be required by the agency.

2) Quarterly and semi-annual interim reports shall be submitted no later than 30 days after the end of each reporting period. Annual reports shall be submitted no later than 90 days after the end of each reporting period. Final reports shall be submitted no later than 90 days after the project or grant period end date.

Reporting Requirements

1. The submission of interim FFRs will be on a quarterly, semi-annual, or annual basis, as directed by the Federal agency. A final FFR shall be submitted at the completion of the award agreement. The following reporting period end dates shall be used for interim reports: 3/31, 6/30, 9/30, or 12/31. For final FFRs, the reporting period end date shall be the end date of the project or grant period.

2. If recipients need more space to support their FFRs, or FFR Attachments, they should provide supplemental pages. These additional pages must indicate the following information at the top of each page: Federal grant or other identifying number (if reporting on a single award), recipient organization, Unique Entity Identifier (UEI) number, Employer Identification Number (EIN), and period covered by the report.

Note: For single award reporting:

1) Federal agencies may require both cash management information on lines 10(a) through 10(c) and financial status information lines 10(d) through 10(o).

2) 10(b) and 10(e) may not be the same until the final report.

1. Federal Agency and Organizational Element to Which Report is Submitted ED/OSERS/RSA

2. Federal Grant or Other Identifying Number Assigned by Federal Agency H187B220046

Financial Management Specialist Contact Patricia Dickerson

Financial Management Specialist Phone 202-245-8213

Financial Management Specialist Email Patricia.Dickerson@ed.gov

3. Recipient Organization (Name and complete address including Zip code)

Recipient Organization Name New Mexico Division of Vocational Rehabilitation

Street 2935 Rodeo Park Drive East

City Santa Fe

State New Mexico

Zip/Postal Code 87505

4a. UEI S4A7W3314D15

4b. EIN 856000565

5. Recipient Account Number or Identifying Number DVR2203Y

6. Report Type Annual

7. Basis of Accounting Cash

8a. Project/Grant Period From Fri, 10/01/2021 - 00:00

8b. Project/Grant Period To Fri, 09/30/2022 - 00:00

9. Reporting Period End Date Fri, 09/30/2022 - 00:00

Due Date 10/31/2022

10. Transactions

Federal Cash:

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

a. Cash Receipts 0.00

b. Cash Disbursements 0.00

c. Cash on Hand (line a minus b) 0.00

Federal Expenditures and Unobligated Balance:

(Use lines d-o for single grant reporting)

d. Total Federal funds authorized 122250

e. Federal share of expenditures 0.00

f. Federal share of unliquidated obligations 0.00

g. Total Federal share (sum of lines e and f) 0.00

h. Unobligated balance of Federal funds (line d minus g) 122,250.00

Recipient Share:

i. Total recipient share required 0

j. Recipient share of expenditures 13,583.00

k. Remaining recipient share to be provided (line i minus j) -13,583.00

Program Income:

l. Total Federal program income earned 0.00

m. Program income expended in accordance with the deduction alternative {Empty}

n. Program income expended in accordance with the addition alternative 0.00

o. Unexpended program income (line l minus line m or line n) 0.00

11. Indirect Expense

Row 1

a. Type of Rate Fixed

b. Rate 23.5

c. Period From Fri, 10/01/2021 - 00:00

c. Period To Thu, 06/30/2022 - 00:00

d. Base 0.00

e. Amount Charged 0.00

Row 2

a. Type of Rate Fixed

b. Rate 16.2

c. Period From Fri, 07/01/2022 - 00:00

c. Period To Fri, 09/30/2022 - 00:00

d. Base 0.00

e. Amount Charged 0.00

Totals

Total for lines 11d 0.00

Total for lines 11e 0.00

Total for lines 11f 0.00

12. Remarks

Include any explanations deemed necessary or information required by Federal sponsoring agency in compliance with governing legislation in the space below

{Empty}

a. Federal Expenditures for Youth with the Most Significant Disabilities: 0.00

b. Administrative Costs Paid from Supported Employment Grant Award: 0.00

c. Not Applicable {Empty}

d. Recipient Share of Unliquidated Obligations: 0.00

e. Program Income Transferred from VR Program: 0.00

13. Certification

I agree to submit this form by electronic means. By signing this form electronically, I certify under penalty of perjury that my answers are correct and complete to the best of my knowledge. I understand that an electronic signature has the same legal meaning and can be enforced in the same way as a written signature.

a. Name and Title of Authorized Certifying Official

Full Legal Name of Signer: Casey Stone-Romero

Certifying Official Title: Director

b. By checking this box and typing my full legal name above, I am electronically signing this form. Yes

Certifying Official Phone

c. Telephone (Area code, number, format: (999) 999-9999) (505) 954-8500

c. Telephone Extension (if any) {Empty}

d. Email address casey.stone-romero@dvr.nm.gov

e. Date Report Submitted 2022-10-27

Edit Check

Edit Check only No

14. Agency use only

14. Agency use only: {Empty}

OMB Notice

OMB Control Number: 0348-0061, approved for use through 02/28/2022

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. 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. The obligation to respond to this collection is required to obtain or retain a benefit (Section 13 of the Rehabilitation Act, as amended). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Education, Washington, D.C. 20202-4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 0348-0061. Note: Please do not return the completed form to this address.