Information Collection

Brownfields Programs - Revitalization Grantee Reporting (Renewal)

IC 23993 under ICR 201205-2050-001 · OMB 2050-0192.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.