State, Local, Tribal Government Reporting

Brownfields Programs - Revitalization Grantee Reporting (Revision)

⚠️ Notice: This information collection may be referencing outdated material.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 State, Local, Tribal Government Reporting Form
2104.05 Property Profile Form Instructions.docx www.epa.gov/acres Instruction
2104.05 Job Training Form Instructions OMB.docx www.epa.gov/acres Instruction
6200-03 Property Profile Form - Brownfields 2104.05 Property Profile Form.xlsx www.epa.gov/acres Form
6200-04 Job Training Reporting Form 2104.05 JT Reporting Form OMB.xlsx www.epa.gov/acres Form

Information Collection (IC) Details

IC Title:	State, Local, Tribal Government Reporting	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	6200-04	Job Training Reporting Form	2104.05 JT Reporting Form OMB.xlsx	www.epa.gov/acres	Yes	Yes	Fillable Fileable
Form	6200-03	Property Profile Form - Brownfields	2104.05 Property Profile Form.xlsx	www.epa.gov/acres	Yes	Yes	Fillable Fileable
Instruction			2104.05 Property Profile Form Instructions.docx	www.epa.gov/acres	Yes	Yes	Fillable Fileable
Instruction			2104.05 Job Training Form Instructions OMB.docx	www.epa.gov/acres	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 964	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	2,476	-111	2,587
Annual IC Time Burden (Hours)	2,981	-186	3,167
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.