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⚠️ Notice: This information collection may be referencing outdated material.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 Cooperative Fire Protection Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW4 Challenge Cost-Share Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW5 Collection Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW6 Cost-Reimbursable Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW7 Cooperative Research and Development Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW8 Joint Venture Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW10 Participating Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW12 Coooperative Law Enforcement Annual Operating and Financial Plan State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW14 Modification Form State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW15 Grants and Agreements Cover Page State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form SF-269 Financial Status Report - Long Form State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form
Form SF-269a Financial Status Report - Short Form State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form
Form SF-270 Request for Advance or Reimbursement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form
Form SF-272 Federal Cash Transactions Report State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form
Form SF-272a Federal CashTransactions Report Continuation Sheet State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form
Form FS-1500-NEW02 Cooperative Law Enforcement Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW03 Cooperative Forest Road Agreement State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW09 Memorandum of Understanding State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW11A Financial Plan A State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW11B Financial Plan B State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
Form FS-1500-NEW13 Collection Agreement Financial Plan 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	Form
SF-269a Financial Status Report - Short Form sf269a.pdf	Form
SF-270 Request for Advance or Reimbursement sf270.pdf	Form
SF-272 Federal Cash Transactions Report sf272.pdf	Form
SF-272a Federal CashTransactions Report Continuation Sheet sf272a.pdf	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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FS-1500-NEW4		No		Paper Only
Form and Instruction	FS-1500-NEW5		No		Paper Only
Form and Instruction	FS-1500-NEW6		No		Paper Only
Form and Instruction	FS-1500-NEW7		No		Paper Only
Form and Instruction	FS-1500-NEW8		No		Paper Only
Form and Instruction	FS-1500-NEW10		No		Paper Only
Form and Instruction	FS-1500-NEW12		No		Paper Only
Form and Instruction	FS-1500-NEW14		No		Paper Only
Form and Instruction	FS-1500-NEW15		No		Paper Only
Form	SF-269	www.gsa.gov	Yes	No	Paper Only
Form	SF-269a	www.gsa.gov	Yes	No	Paper Only
Form	SF-270	www.gsa.gov	Yes	No	Paper Only
Form	SF-272	www.gsa.gov	Yes	No	Paper Only
Form	SF-272a	www.gsa.gov	Yes	No	Paper Only
Form and Instruction	FS-1500-NEW01		No		Fillable Printable
Form and Instruction	FS-1500-NEW02		No		Fillable Printable
Form and Instruction	FS-1500-NEW03		No		Fillable Printable
Form and Instruction	FS-1500-NEW09		No		Fillable Printable
Form and Instruction	FS-1500-NEW11A		No		Fillable Printable
Form and Instruction	FS-1500-NEW11B		No		Fillable Printable
Form and Instruction	FS-1500-NEW13		No		Fillable Printable

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.

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