Information Collection

NOP & AMA Cost-Share Programs (voluntary) State

IC 210674 under ICR 201407-0581-001 · OMB 0581-0288.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-424 NOP & AMA Cost-Share Programs (voluntary) State	Form and Instruction
AMS-33 AMS Agreement Face Sheet AMS-33.docx	Form
SF-270 Request for Advance or Reimbursement sf270.pdf whitehouse.gov/omb/grants/grants_forms.html	Form and Instruction
SF-424 Application for Federal Assistance SF-424 Application Fed Assistance 4040-0004.pdf www.grants.gov	Form and Instruction
SF-425 Federal Financial Report sf-425_fed_financial_report.pdf www.whitehouse.gov/omb/grants/grants_forms.html	Form
W-9 Request for Taxpayer Idnetification Number and Certifica W9 Form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	SF-424	Application for Federal Assistance	SF-424 Application Fed Assistance 4040-0004.pdf	http://www.grants.gov	Yes	Yes	Fillable Fileable
Form	AMS-33	AMS Agreement Face Sheet	AMS-33.docx		No		Paper Only
Form and Instruction	SF-270	Request for Advance or Reimbursement	sf270.pdf	http://whitehouse.gov/omb/grants/grants_forms.html	Yes	Yes	Fillable Fileable
Form	SF-425	Federal Financial Report	sf-425_fed_financial_report.pdf	http://www.whitehouse.gov/omb/grants/grants_forms.html	Yes	Yes	Fillable Fileable
Form and Instruction	W-9	Request for Taxpayer Idnetification Number and Certification	W9 Form.pdf		No		Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	504	-12,000	12,504
Annual IC Time Burden (Hours)	4,592	-8,150	12,742
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.