Information Collection

Job Access and Reverse Commute Program

IC 26569 under ICR 201112-2132-002 · OMB 2132-0563.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2132-0563 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-424 Job Access and Reverse Commute Program	Form and Instruction
TEAM Screen Shot-Job Access.pdf	Other-Screen Shot TEAM
SF-424 Application for Federal Assistance SF424 Application and Instructions.pdf	Form and Instruction
SF-424 Application for Federal Assistance Sample Application - Job Access.pdf	Form

IC Title:

Job Access and Reverse Commute Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 18

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF-424	Application for Federal Assistance	SF424 Application and Instructions.pdf	Yes	Yes	Fillable Fileable
Form	SF-424	Application for Federal Assistance	Sample Application - Job Access.pdf	Yes	Yes	Fillable Fileable
Other-Screen Shot TEAM			TEAM Screen Shot-Job Access.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 274

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	1,370	299	1,071
Annual IC Time Burden (Hours)	153,988	31,614	122,374
Annual IC Cost Burden (Dollars)	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.