MS Access reports does not have the ability to output 4-up double-sided. Instead I am looking for a software that can take double-sided output of various sizes and arrange it 2-up or 4-up double-sided. Adobe Acrobat cannot do that so there must be an Adobe add on or a pre-processor somewhere.
Access has all the abilities to format your data. The only thing is that it is not a good layout program. Nevertheless I'm sure formatting the report as needed is possible. I would ask that question in an Access forum.
You can however output the data in a way that allows a subsequent program (Indesign to name one of Adobe's line) to format that data as you would need it to be formatted. There is more than one possibility to do that with more or less manual intervention, depending on the amount of data and the periodicity.
BTW: I just googled for Sejda. n-up may help.
Or you could look here: Products - Montax Imposer - N-UP, booklet, cut stack pdf imposition software . Just to say, I do not recommend this software just googled and found it looked promising. I have absolutely no idea if it fits your needs.
If you need a professional program: Quite at Home (they invest their time in the software, not fancy websites).
There are others available.