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Click ‘Get Form’ to open the OMB Number 4040-0014 in the editor.
Begin by filling in the 'Federal Agency and Organizational Element' section with the name of the federal agency you are reporting to.
In the 'Federal Grant or Other Identifying Number' field, enter your grant number. If you have multiple grants, utilize the FFR Attachment.
Complete the 'Recipient Organization' section with your organization's full name and address, including ZIP code.
Provide your DUNS Number and EIN in their respective fields to ensure proper identification of your organization.
Select the appropriate 'Report Type' and specify your 'Basis of Accounting' (Cash or Accrual) as required.
Fill in the project/grant period dates accurately, ensuring they align with your award document.
Complete sections for transactions, including cash receipts, disbursements, and any program income earned.
Finally, review all entries for accuracy before signing off on the certification section at the end of the form.

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