Federal and Non-Federal Financial Assistance Instruments

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FS 1500-17a Individuals	Form and Instruction	New	Available
Form FS-1500-9a State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction	Modified	Available
Form FS 1500-8 Private Sector - Federal/Non-Federal Financial Assistance Instruments	Form and Instruction	Modified	Available
Supplemental Provisions to the 7600A.docx	Supplementary Document	Uploaded 2014-02-03	Available
FS 1500-6 IA Narrative 2.0.docx	Supplementary Document	Uploaded 2014-02-03	Available
International Grant.docx	Supplementary Document	Uploaded 2014-01-30	Available
International Cooperative Agreement.docx	Supplementary Document	Uploaded 2014-01-30	Available
ATTACHMENT_C.docx	Supplementary Document	Uploaded 2014-01-30	Available
Cooperative Agreement 2.0.docx	Supplementary Document	Uploaded 2014-01-30	Available
Domestic Grant 2.0.docx	Supplementary Document	Uploaded 2014-01-30	Available
Partner With Us September 2012 FINAL.pdf	Supplementary Document	Uploaded 2013-12-06	Available
Partnership-Guide_2005.pdf	Supplementary Document	Uploaded 2013-12-06	Available
203-partnership-authorities-instruments.ppt	Supplementary Document	Uploaded 2013-12-06	Available
SPF-CF handbook.pdf	Supplementary Document	Uploaded 2013-12-06	Available
Appendix A Burden Estimate 2-3 2014.xlsx	Supplementary Document	Uploaded 2014-02-04	Available
0596-0217 2013 Supporting Statement 2 3 2014.docx	Supporting Statement A	Uploaded 2014-02-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
208925	Individuals	Form and Instruction	New
185951	State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction	Modified
185950	Private Sector - Federal/Non-Federal Financial Assistance Instruments	Form and Instruction	Modified

ICR Details

OMB Control No: 0596-0217	ICR Reference No: 201310-0596-001
Status: Historical Active	Previous ICR Reference No: 200906-0596-003
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Federal and Non-Federal Financial Assistance Instruments
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: 11/10/2014
	Date Received in OIRA: 02/04/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved	11/30/2014
Responses	30,127	0	35,655
Time Burden (Hours)	49,751	0	39,352
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this collection is to collect information necessary for Forest Service to conduct the Agency's Federal and Non-Federal Financial Assistance program to develop projects, make or receive payment, monitor projects, as well as the necessary statements of work and financial plans.

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Authorizing Statute(s): US Code: 16 USC 565al-a3 Name of Law: Cooperative Funds and Deposits Act of 12/12/1975, Pub. L. 95-442
   US Code: 16 USC 572 Name of Law: Granger-Thye Act of 4/24/1950
   US Code: 16 USC 498 Name of Law: Cooperative Funds Act of 6/30/1914, as amended by Pub. L. 104-127
   US Code: 31 USC 6301-6308 Name of Law: Federal Grants and Cooperative Agreements Act of 1977, as amended (Pub. L. 97-258, as amended)
   PL: Pub.L. 102 - 154 Challenge Cost Share Name of Law: Interior and Related Agencies Appropriations Act of 1992
   US Code: 5 USC 3343, 3581-3584 Name of Law: Federal Employees International Organization Service Act, as amended
   US Code: 16 USC 551a Name of Law: Cooperative Law Enforcement Act of August 10, 1971 (Pub. L. 92-82)
   US Code: 15 USC 3710a Name of Law: Federal Technology Transfer Act of 1986, Pub. L 96-480
   US Code: 16 USC 1701-1706 Name of Law: Youth Conservation Corps Act of 1970, as amended
   US Code: 16 USC 1641-1646 Name of Law: Forest and Rangeland Renewable Resources Research Act of 1978, as amended (Pub. L 95-307)
   US Code: 16 USC 2101-2114 Name of Law: Cooperative Forestry Assistance Act of 1978, as amended (Pub. L. 95-313)
   US Code: 7 USC 6601 Name of Law: National Forest Dependent Rural Communities Economic Diversification Act of 1990
   US Code: 42 USC 1856a Name of Law: Reciprocal Fire Act of May 27, 1955 (Pub. L. 84-46)
   US Code: 16 USC 532-538 Name of Law: National Forest Roads and Trails Act of 10/13/1965 (Pub. L. 88-657)
   US Code: 16 USC 1246(h) Name of Law: National Trails System Act (Pub. L. 90-543)
   US Code: 16 USC 1271 et seq. Name of Law: Wild and Scenic Rivers Act (Pub. L. 90-542)
   US Code: 7 USC 2814 Name of Law: Federal Noxious Weed Act of 1974 (Pub. L. 93-629, Pub. L. 101-624)
   US Code: 42 USC 12501 Name of Law: National and Community Service Act of 1990 (Pub. L. 101-610)
   US Code: 7 USC 2269 Name of Law: Acceptance of Gifts Act of October 10, 1978
   US Code: 7 USC 3318-3319 Name of Law: Food Security Act of 1985
   US Code: 16 USC 670g-670l, 670o Name of Law: Sikes Act of September 1, 1960
   PL: Pub.L. 111 - 11 30001 Name of Law: Wyden Amendment
   PL: Pub.L. 106 - 393 All Name of Law: Secure Rural Schools and Community Self-Determination Act of 2000
   PL: Pub.L. 108 - 7 323 Name of Law: Stewardship Authority
  

Citations for New Statutory Requirements: None

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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:
	77 FR 243	12/18/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 3775	01/23/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Individuals	FS 1500-35, FS 1500-17a, FS 1500-23, FS 1500-19, FS 1500-9, FS 1500-9a, FS 1500-10c, FS 1500-11, FS 1500-13, FS 1500-14, FS 1500-14a, FS 1500-21b, FS 1500-16a, FS 1500-16b, FS 1500-16g, FS-1500-10, SF 424 (R&R), FS 1500-15, FS 1500-15a, FS 1500-12, FS 1500-13a, FS 1500-13b, FS 1500-16, FS 1500-16f, FS 1500-21, FS 1500-21a, FS 1500-21c, FS 1500-21d, FS 1500-17b, FS 1500-17c, FS 1500-18, SF 424 (Individual)	Financial Plan Long Form ,   Application for Federal Assistance (Individual) ,   Application for Federal Assistance (Research & Related) ,   Optional Project Progress Report ,   Modification of Grant or Agreement ,   Certification Regarding Lobbying ,   Challenge Cost Share Agreement ,   Cooperative Forest Road Agreement ,   Road Project Agreement ,   Non Funded Challenge Cost Share Agreement ,   Collection Agreement ,   Cooperative Research and Development Agreement ,   Joint Venture Agreement ,   International Joint Venture ,   Participating Agreement ,   Participating Agreement for Fuels or Noxious Weed Treatment ,   Non Funded Participating Agreement ,   Master Stewardship Agreement ,   Stewardship Agreement SPA ,   Stewardship Agreement Financial Plan ,   Stewardship Agreement ,   Stewardship Agreement (Short Form) ,   Agreements Financial Plan (Short) ,   Agreements Financial Plan (Medium Form) ,   Collection Agreement Financial Plan ,   Master Participating Agreement ,   Participating Agreement Supplemental Project Agreement ,   Memorandum of Understanding ,   Memorandum of Understanding for Cooperative Frequency Use ,   Cost-Reimbursable Agreement ,   Material Transfer Agreement ,   Nondisclosure Agreement
Private Sector - Federal/Non-Federal Financial Assistance Instruments	FS 1500-11b, FS 1500-11c, FS 1500-23, FS 1500-22, FS 1500-22a, FS 1500-34, FS 1500-35, SF 424 (R&R), FS-1500-10c, FS 1500-11a, FS 1500-16g, FS 1500-21d, SF 424, FS 1500-7 , FS-1500-11, FS 1500-12, FS 1500-15, FS-1500-17a, FS-1500-17b, FS-1500-19, FS-1500-9, FS-1500-18, FS 1500-14a , FS 1500-16a , FS 1500-16b , FS 1500-16c , FS 1500-8 , FS 1500-8a , FS 1500-16e , FS-1500-16d, FS-1500-16f, FS-1500-21, FS-1500-21a, FS-1500-21b, FS 1500-10a , FS 1500-13b , FS 1500-13a , FS-1500-10, FS 1500-17c, FS 1500-10b , FS-1500-13, FS-1500-14, FS-1500-16, FS 1500-9a , FS 1500-21c , FS-1500-15a	FS 1500-8 Cooperative Law Enforcement Agreement ,   FS 1500-8a Cooperative Law Enforcement AOP.doc ,   FS 1500-9a Road Project Agreement ,   FS 1500-10a Master Challenge Cost Share Agreement ,   FS 1500-10b Challenge Cost Share SPA ,   FS 1500-13a Material Transfer Agreement.doc ,   FS 1500-13b Nondisclosure Agreement ,   FS 1500-14a International Joint Venture Agreement ,   FS 1500-16a Master Participating Agreement ,   FS 1500-16b Participating Agreement SPA ,   FS 1500-16c Participating Agreement with Interpretive Association ,   FS 1500-17c Financial Plan Medium Form ,   Memorandum of Understanding for Cooperative Frequency Usage ,   Master Participating Agreement with Interpretative Associations ,   Participating Agreement Supplemental Project Agreement with Interpretive Associations ,   Participating Agreement for Fuels or Noxious Weed Treatment ,   Master Stewardship Agreement ,   Stewardship Agreement Supplemental Project Agreement ,   Stewardship Financial Plan ,   Stewardship Agreement ,   Application for Federal Assistance ,   Application for Federal Assistance – Research ,   Optional Project Progress Report ,   Financial Capability Questionaire ,   Financial Capability Checklist ,   Grant Equipment Justification and Certification Statement ,   Certification Regarding Lobbying ,   Non-Funded Challenge Cost Share Agreement ,   Reimbursable Collection Agreement with Rocky Mountian Elk Foundation ,   Advance Collection Agreement, Rocky Mountain Elk Foundation ,   Collection Agreement- Federal Energy Regulatory Commission (FERC) ,   Non Funded Participating Agreement ,   Stewardship Agreement (Short Form) ,   Challenge Cost-Share Agreement ,   Collection Agreement ,   Cost-Reimbursable Agreement ,   Cooperative Research and Development Agreement ,   Joint Venture Agreement ,   Participating Agreement ,   Modification Form ,   Cooperative Forest Road Agreement ,   Memorandum of Understanding ,   Financial Plan (form A) ,   Financial Plan (form B) ,   Collection Agreement Financial Plan ,   FS 1500-7 Cooperative Fire Agreement.doc
State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	FS 1500-35, FS 1500-10c, FS 1500-16g, FS 1500-21d, FS 1500-23, FS 1500-22, FS 1500-22b, FS 1500-34, Supplemental Provisions, SF 424, SF 424 (R&R), FS 1500-17b, FS 1500-12, FS-1500-11, FS 1500-18, FS-1500-16, FS-1500-7, FS 1500-8a, FS 1500-15, FS-1500-17a, FS-1500-10, FS-1500-19, FS 1500-8, FS 1500-15a, FS-1500-9a, FS-1500-10a, FS 1500-13a, FS 1500-13b, FS-1500-16a, FS-1500-13, FS-1500-14, FS-1500-9, FS 1500-11A, FS 1500-16e, FS 1500-11B, FS 1500-14A, FS 1500-16c, FS 1500-16d, FS 1500-16f, FS-1500-10b, FS-1500-16b, FS 1500-17c, FS 1500-21, FS 1500-21a, FS 1500-21b, FS 1500-21c	Road Project Agreement ,   Master Challenge Cost Share Agreement ,   Material Transfer Agreement ,   Nondisclosure Agreement ,   Memorandum of Understanding for Cooperative Frequency Usage ,   Challenge Cost Share Supplemental Project Agreement ,   Master Participating Agrement ,   Participating Agreement Supplemental Project Agreement ,   Agreement Financial Plan (Medium Form) ,   Master Stewardship Agreement ,   Stewardship Agreement Supplemental Project Agreement ,   Stewardship Financial Plan ,   Stewardship Agreement ,   Collection Agreement RMEF Reimbursable ,   Collection Agrement RMEF Advance ,   International Joint Venture Agreement ,   Participating Agreement with Interpretive Association ,   Master Participating Agreement with Interpretive Association ,   Participating Agreement SPA with Interpretive Association ,   Participating Agreement for Fuels or Noxious Weed Treatment ,   Application for Federal Assistance ,   Application for Federal Assistance (Research & Related) ,   Optional Project Progress Report ,   Financial Capability Questionaire ,   Financial Capability Checklist for State Government Agencies Only ,   Grant Equipment Justification and Certification Statement ,   Certification Regarding Lobbying ,   Non Funded Challenge Cost Share Agreement ,   Non Funded Participating Agreement ,   Stewardship Agreements (Short Form) ,   Supplemental Provisions to the 7600A ,   Challenge Cost-Share Agreement ,   Collection Agreement ,   Cost-Reimbursable Agreement ,   Cooperative Research and Development Agreement ,   Joint Venture Agreement ,   Participating Agreement ,   Coooperative Law Enforcement Agreement ,   Modification Form ,   Cooperative Fire Protection Agreement ,   Cooperative Law Enforcement AOP ,   Cooperative Forest Road Agreement ,   Memorandum of Understanding ,   Financial Plan A ,   Financial Plan B ,   Collection Agreement Financial Plan

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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	30,127	35,655	0	859	-6,387	0
Annual Time Burden (Hours)	49,751	39,352	0	559	9,840	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Annualized burden estimates increased due to the incorporation of Standard Forms (8,622 burden hours), optional administrative form to report performance (17,172 burden hours), and new information collections and reporting related to USDA Office of Inspector General Audit (1,350 burden hours). At the same time, total estimate decreased by 13,853 due to better accounting of the average number of awards and agreements executed on a yearly basis and the average number of responses per partner in a given year. Forest Service is requesting a total of 49,751 burden hours which is an increase from the previous OMB approved 39,352 burden hours. This revised estimate reflects the total annual burden on the public to develop grant and agreement proposals, scope of works, budgets and budget justifications, and administrative activities related to requesting, accepting, and spending Federal dollars under the associated statute and regulatory requirements.

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Annual Cost to Federal Government: $793,292

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: 02/04/2014

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