Information Collection

General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments

IC 23551 under ICR 200903-2030-002 · OMB 2030-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0020 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-424B General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction
6600-09 EPA Administrative Capability Questionnaire a_6600-09.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
4700-4 Preaward Compliance Review Report b_4700-4.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5700-54 Key Contacts Form c1_5700-54 EPA.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5700-55 Key Contacts Form for Multiple Principal Investigators c2_5700-55 ORD.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-2 Fellowship Application d_5770-2.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-3 Fellowship Facilities and Commitment Statement e_5770-3.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-4 Fellowship Applicant Qualifications Inquiry f_5770-4.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-5 Agency Fellowship Certification g_5770-5.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-7 EPA Fellowship Activation Notice h_5770-7.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-8 Fellowship Agreement i_5770-8.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-9 EPA Fellowship Termination Notice j_5770-9.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
6600-01 EPA Administrative and Financial Onsite Review Questionn k_6600-01.pdf	Form and Instruction
6600-06 Certification Regarding Lobbying l_6600-06.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
6600-08 Lobbying Cost Certificate for Indirect Costs m_6600-08.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
NCER 5 Current and Pending Support n_NCER Form 5.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-270 Request for Advance or Reimbursement p_SF270.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-269 Financial Status Report - Long o1_SF269.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-269a Financial Status Report - Short o2_SF269a.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-271 Outlay Report and Request for Reimbursement for Construc q_SF271.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-272a Federal Cash Transactions Report Continuation r2_SF272a.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-272 Federal Cash Transactions Report r1_SF272.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-424 Application for Federal Assistance s_SF424.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-424A Budget Information - Non-Construction Programs t_SF424A.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-424B Assurances - Non-Construction Programs u_SF424B.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-424C Budget Information - Construction Programs v_SF424C.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-424D Assurances - Construction Programs w_SF424D.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
SF-LLL Disclosure of Lobbying Activities x_SFLLL.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR Part 31 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	SF-424B	Assurances - Non-Construction Programs	u_SF424B.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF-424C	Budget Information - Construction Programs	v_SF424C.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF-424D	Assurances - Construction Programs	w_SF424D.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF-LLL	Disclosure of Lobbying Activities	x_SFLLL.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-09	EPA Administrative Capability Questionnaire	a_6600-09.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	4700-4	Preaward Compliance Review Report	b_4700-4.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	5700-54	Key Contacts Form	c1_5700-54 EPA.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5700-55	Key Contacts Form for Multiple Principal Investigators	c2_5700-55 ORD.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-2	Fellowship Application	d_5770-2.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	5770-3	Fellowship Facilities and Commitment Statement	e_5770-3.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	5770-4	Fellowship Applicant Qualifications Inquiry	f_5770-4.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	5770-5	Agency Fellowship Certification	g_5770-5.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	5770-7	EPA Fellowship Activation Notice	h_5770-7.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	5770-8	Fellowship Agreement	i_5770-8.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	5770-9	EPA Fellowship Termination Notice	j_5770-9.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	6600-01	EPA Administrative and Financial Onsite Review Questionnaire	k_6600-01.pdf		No	No	Paper Only
Form and Instruction	6600-06	Certification Regarding Lobbying	l_6600-06.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-08	Lobbying Cost Certificate for Indirect Costs	m_6600-08.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	NCER 5	Current and Pending Support	n_NCER Form 5.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF-270	Request for Advance or Reimbursement	p_SF270.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	SF-269	Financial Status Report - Long	o1_SF269.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	SF-269a	Financial Status Report - Short	o2_SF269a.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	SF-271	Outlay Report and Request for Reimbursement for Construction Programs	q_SF271.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	SF-272a	Federal Cash Transactions Report Continuation	r2_SF272a.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	SF-272	Federal Cash Transactions Report	r1_SF272.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	No	Fillable Printable
Form and Instruction	SF-424	Application for Federal Assistance	s_SF424.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF-424A	Budget Information - Non-Construction Programs	t_SF424A.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,373

Number of Respondents for Small Entity: 3,498

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	35,508	1,802	27,601	6,105
Annual IC Time Burden (Hours)	82,317	-248	-26,049	108,614
Annual IC Cost Burden (Dollars)	0	0	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.