Information Collection

State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments

IC 185951 under ICR 200807-0596-012 · OMB 0596-0217.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0217 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS-1500-NEW01 State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
FS-1500-NEW4 Challenge Cost-Share Agreement FS_1500_NEW04.doc	Form and Instruction
FS-1500-NEW5 Collection Agreement FS_1500_NEW05.doc	Form and Instruction
FS-1500-NEW6 Cost-Reimbursable Agreement FS_1500_NEW06.doc	Form and Instruction
FS-1500-NEW7 Cooperative Research and Development Agreement FS_1500_NEW07.doc	Form and Instruction
FS-1500-NEW8 Joint Venture Agreement FS_1500_NEW08.doc	Form and Instruction
FS-1500-NEW10 Participating Agreement FS_1500_NEW10.doc	Form and Instruction
FS-1500-NEW12 Coooperative Law Enforcement Annual Operating and Financ FS_1500_NEW12.doc	Form and Instruction
FS-1500-NEW14 Modification Form FS_1500_NEW14.doc	Form and Instruction
FS-1500-NEW15 Grants and Agreements Cover Page FS_1500_NEW15.doc	Form and Instruction
SF-269 Financial Status Report - Long Form sf269.pdf www.gsa.gov	Form
SF-269a Financial Status Report - Short Form sf269a.pdf www.gsa.gov	Form
SF-270 Request for Advance or Reimbursement sf270.pdf www.gsa.gov	Form
SF-272 Federal Cash Transactions Report sf272.pdf www.gsa.gov	Form
SF-272a Federal CashTransactions Report Continuation Sheet sf272a.pdf www.gsa.gov	Form
FS-1500-NEW01 Cooperative Fire Protection Agreement FS_1500_NEW01.doc	Form and Instruction
FS-1500-NEW02 Cooperative Law Enforcement Agreement FS_1500_NEW02.doc	Form and Instruction
FS-1500-NEW03 Cooperative Forest Road Agreement FS_1500_NEW03.doc	Form and Instruction
FS-1500-NEW09 Memorandum of Understanding FS_1500_NEW09.doc	Form and Instruction
FS-1500-NEW11A Financial Plan A FS_1500_NEW11A.xls	Form and Instruction
FS-1500-NEW11B Financial Plan B fs_1500_NEW11B.xls	Form and Instruction
FS-1500-NEW13 Collection Agreement Financial Plan FS_1500_NEW13.doc	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FS-1500-NEW01	Cooperative Fire Protection Agreement	FS_1500_NEW01.doc		No		Fillable Printable
Form and Instruction	FS-1500-NEW02	Cooperative Law Enforcement Agreement	FS_1500_NEW02.doc		No		Fillable Printable
Form and Instruction	FS-1500-NEW03	Cooperative Forest Road Agreement	FS_1500_NEW03.doc		No		Fillable Printable
Form and Instruction	FS-1500-NEW09	Memorandum of Understanding	FS_1500_NEW09.doc		No		Fillable Printable
Form and Instruction	FS-1500-NEW11A	Financial Plan A	FS_1500_NEW11A.xls		No		Fillable Printable
Form and Instruction	FS-1500-NEW11B	Financial Plan B	fs_1500_NEW11B.xls		No		Fillable Printable
Form and Instruction	FS-1500-NEW13	Collection Agreement Financial Plan	FS_1500_NEW13.doc		No		Fillable Printable
Form and Instruction	FS-1500-NEW4	Challenge Cost-Share Agreement	FS_1500_NEW04.doc		No		Paper Only
Form and Instruction	FS-1500-NEW5	Collection Agreement	FS_1500_NEW05.doc		No		Paper Only
Form and Instruction	FS-1500-NEW6	Cost-Reimbursable Agreement	FS_1500_NEW06.doc		No		Paper Only
Form and Instruction	FS-1500-NEW7	Cooperative Research and Development Agreement	FS_1500_NEW07.doc		No		Paper Only
Form and Instruction	FS-1500-NEW8	Joint Venture Agreement	FS_1500_NEW08.doc		No		Paper Only
Form and Instruction	FS-1500-NEW10	Participating Agreement	FS_1500_NEW10.doc		No		Paper Only
Form and Instruction	FS-1500-NEW12	Coooperative Law Enforcement Annual Operating and Financial Plan	FS_1500_NEW12.doc		No		Paper Only
Form and Instruction	FS-1500-NEW14	Modification Form	FS_1500_NEW14.doc		No		Paper Only
Form and Instruction	FS-1500-NEW15	Grants and Agreements Cover Page	FS_1500_NEW15.doc		No		Paper Only
Form	SF-269	Financial Status Report - Long Form	sf269.pdf	www.gsa.gov	Yes	No	Paper Only
Form	SF-269a	Financial Status Report - Short Form	sf269a.pdf	www.gsa.gov	Yes	No	Paper Only
Form	SF-270	Request for Advance or Reimbursement	sf270.pdf	www.gsa.gov	Yes	No	Paper Only
Form	SF-272	Federal Cash Transactions Report	sf272.pdf	www.gsa.gov	Yes	No	Paper Only
Form	SF-272a	Federal CashTransactions Report Continuation Sheet	sf272a.pdf	www.gsa.gov	Yes	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 538

Number of Respondents for Small Entity: 404

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,904	2,904
Annual IC Time Burden (Hours)	5,637	5,637
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.