Brownfields Programs - Revitalization Grantee Reporting (Renewal)

Brownfields Program - Accomplishment Reporting (Renewal)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2050-0192 can be found here:

Documents and Forms

Document Name Document Type
Form 6200-04 Brownfields Programs - Revitalization Grantee Reporting (Renewal) Form and Instruction
2104supp03 - Property Profile Form Instructions.doc Instruction
6200-04 JOB TRAINING REPORTING FORM 2104supp03 - Job Training Form.pdf www.epa.gov/brownfields/pubs/job_training_form.pdf Form and Instruction
6200-03 Property Profile Form 2104supp03 - Property Profile Form.xls Form

Information Collection (IC) Details

IC Title:	Brownfields Programs - Revitalization Grantee Reporting (Renewal)	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 30-31 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6200-04	JOB TRAINING REPORTING FORM	2104supp03 - Job Training Form.pdf	http://www.epa.gov/brownfields/pubs/job_training_form.pdf	Yes	No	Printable Only
Form	6200-03	Property Profile Form	2104supp03 - Property Profile Form.xls		Yes	Yes	Fillable Fileable
Instruction			2104supp03 - Property Profile Form Instructions.doc		Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,007	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,587	-8,771	11,358
Annual IC Time Burden (Hours)	3,167	-13,383	16,550
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.