49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF 424 (OMB Number Application for Federal Assistance	Form and Instruction	Modified	Available
Justification Statement 49 USC Sections 5310 and 5311.doc	Supporting Statement A	Uploaded 2013-08-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
26517	49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize	Form and Instruction	Modified	Application for Federal Assistance
26517	49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize	Other-Sample TEAM Screen Shot - Application & Authorizing Resolu	Modified

ICR Details

OMB Control No: 2132-0500	ICR Reference No: 201308-2132-005
Status: Historical Active	Previous ICR Reference No: 201008-2132-003
Agency/Subagency: DOT/FTA	Agency Tracking No:
Title: 49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/28/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/28/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	36 Months From Approved	12/31/2013
Responses	178	0	107
Time Burden (Hours)	20,882	0	11,668
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected from state and local governments is used by FTA to determine eligibility for grant benefits and ensures compliance with federal requirements. The information is also used by FTA for program management and evaluation.

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Authorizing Statute(s): US Code: 49 USC 5311 Name of Law: Formula grants for other than urbanized areas
   US Code: 49 USC 5310 Name of Law: Formula grants for special needs of elderly individuals and individuals with disabilities
   PL: Pub.L. 112 - 141 20009 Name of Law: Moving Ahead for Progress in the 21st Century
  

Citations for New Statutory Requirements: PL: Pub.L. 112 - 141 20009 Name of Law: Moving Ahead for Progress in the 21st Century

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 8690	02/06/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 23816	04/22/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize	SF 424 (OMB Number: 4040-0002)	Application for Federal Assistance

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	178	107	71	0	0	0
Annual Time Burden (Hours)	20,882	11,668	9,214	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden hours is due to the addition of the Tribal Transit Program to this information collection.

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Annual Cost to Federal Government: $146,494

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/28/2013

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