Information Collection

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

IC 26517 under ICR 201308-2132-005 · OMB 2132-0500.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2132-0500 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 424 (OMB Number 49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize	Form and Instruction
Sample TEAM Screen Shot - Application and Authorizing Resolution - 5310 and 5311.pdf	Other-Sample TEAM Screen Shot - Appl
Sample TEAM Screen Shot- Application and Project Management.pdf	Other-Sample TEAM Screen Shot - Appl
SF 424 (OMB Number Application for Federal Assistance SF424 Application and Instructions.pdf	Form and Instruction

IC Title:

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

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 19 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 (OMB Number: 4040-0002)	Application for Federal Assistance	SF424 Application and Instructions.pdf	Yes	Yes	Fillable Fileable
Other-Sample TEAM Screen Shot - Application & Authorizing Resolution			Sample TEAM Screen Shot - Application and Authorizing Resolution - 5310 and 5311.pdf	Yes	No	Fillable Fileable
Other-Sample TEAM Screen Shot - Application & Project Management			Sample TEAM Screen Shot- Application and Project Management.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 178

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	178	71	107
Annual IC Time Burden (Hours)	20,882	9,214	11,668
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.