General Administrative Requirements for Assistance Programs (Change)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 6600-01 Limited Scope Administrative and Financial Review Questionnaire	Form and Instruction	Modified	Available
Form 6600-09 EPA Administrative Capability Questionnaire	Form and Instruction	Modified	Available
Form 6600-08 Lobbying Cost Certificate for Indirect Costs/Certificate of Indirect Costs for State and Local Governments	Form and Instruction	Modified	Available
Form 5700-52A MBE/WBE Utilization Under Federal Grants and Cooperative Agreements	Form and Instruction	Modified	Available
Form 4700-4 Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance	Form and Instruction	Modified	Available
Form SF 428-S Tangible Personal Property Report Supplemental Sheet	Form and Instruction	Modified	Available
Form SF 428-C Tangible Personal Property Report Disposition Request/Report	Form and Instruction	Modified	Available
Form SF 428-B Tangible Personal Property Report Final Report	Form and Instruction	Modified	Available
Form SF 428-A Tangible Personal Property Report Annual Report	Form and Instruction	Modified	Available
Form 5700-53 Lobbying and Litigation Certificate	Form and Instruction	Modified	Available
Form 190-F-04-001 US EPA Payment Request	Form and Instruction	Modified	Available
Form RPPR RPPR	Form and Instruction	Modified	Available
Form SF SAC Data Collection Form for Single Audits	Form and Instruction	Modified	Available
Form SF 429 Real Property Status Report	Form and Instruction	Modified	Available
Form SF 428 Tangible Personal Property	Form and Instruction	Modified	Available
Form SF LLL Disclosure of Lobbying Activities	Form and Instruction	Modified	Available
Form SF 271 Outlay Report and Request for Reimbursement for Construction Programs	Form and Instruction	Modified	Available
Form SF 270 Request for Advance or Reimbursement	Form and Instruction	Modified	Available
Form NCER Form 5 Current and Pending Support	Form and Instruction	Modified	Available
Form 6600-06 Certification Regarding Lobbying	Form and Instruction	Modified	Available
Form 5700-54 "Key Contacts Form	Form and Instruction	Modified	Available
Form 5770-2 Fellowship Application	Form and Instruction	Modified	Available
Form 5770-9 EPA Completion of Studies Notice	Form and Instruction	Modified	Available
Form 190-F-05-001 Fellowship Stipend Payment Enrollment Form	Form and Instruction	Modified	Available
Form 5770-5 Agency Fellowship Certification	Form and Instruction	Modified	Available
Form 5770-3 Fellowship Facilities and Commitment Statemen	Form and Instruction	Modified	Available
Form 5770-8 Fellowship Agreement	Form and Instruction	Modified	Available
Form 5770-7 EPA Fellowship Activation Notice	Form and Instruction	Modified	Available
Form 6600-01 Limited Scope Administrative and Financial Review Questionnaire	Form and Instruction	Modified	Available
Form 4700-4 Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance	Form and Instruction	Modified	Available
Form 5700-52A MBE/WBE Utilization Under Federal Grants and Cooperative Agreements	Form and Instruction	Modified	Available
Form 6600-08 Lobbying Cost Certificate for Indirect Costs/Certificate of Indirect Costs for State and Local Governments	Form and Instruction	Modified	Available
Form 6600-09 EPA Administrative Capability Questionnaire	Form and Instruction	Modified	Available
Form SF 428-S Tangible Personal Property Report Supplemental Sheet	Form and Instruction	Modified	Available
Form SF 428-C Tangible Personal Property Report Disposition Request/Report	Form and Instruction	Modified	Available
Form SF 428-B Tangible Personal Property Report Final Report	Form and Instruction	Modified	Available
Form SF 428-A Tangible Personal Property Report Annual Report	Form and Instruction	Modified	Available
Form 5700-53 Lobbying and Litigation Certificate	Form and Instruction	Modified	Available
Form 190-F-04-001 US EPA Payment Request	Form and Instruction	Modified	Available
Form RPPR RPPR	Form and Instruction	Modified	Available
Form SF SAC Data Collection Form for Single Audits	Form and Instruction	Modified	Available
Form SF 429 Real Property Status Report	Form and Instruction	Modified	Available
Form SF 428 Tangible Personal Property	Form and Instruction	Modified	Available
Form SF LLL Disclosure of Lobbying Activities	Form and Instruction	Modified	Available
Form SF 271 Outlay Report and Request for Reimbursement for Construction Programs	Form and Instruction	Modified	Available
Form SF 270 Request for Advance or Reimbursement	Form and Instruction	Modified	Available
Form NCER Form 5 Current and Pending Support	Form and Instruction	Modified	Available
Form 6600-06 Certification Regarding Lobbying	Form and Instruction	Modified	Available
Form 5700-54 "Key Contacts Form	Form and Instruction	Modified	Available
0938.20 Justification for Change Uniform Grants Guidance.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-06-05	Available
0938.20 Justification for Change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-10-29	Available
0938.19 Justification for Change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-09-24	Available
0938ss20 Rev 6.5.15.docx	Supporting Statement A	Uploaded 2015-06-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Limited Scope Administrative and Financial Review Questionnaire
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	EPA Administrative Capability Questionnaire
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Lobbying Cost Certificate for Indirect Costs/Certificate of Indirect Costs for State and Local Governments
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	MBE/WBE Utilization Under Federal Grants and Cooperative Agreements
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Tangible Personal Property Report Supplemental Sheet
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Tangible Personal Property Report Disposition Request/Report
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Tangible Personal Property Report Final Report
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Tangible Personal Property Report Annual Report
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Lobbying and Litigation Certificate
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	US EPA Payment Request
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	RPPR
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Data Collection Form for Single Audits
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Real Property Status Report
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Tangible Personal Property
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Disclosure of Lobbying Activities
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Outlay Report and Request for Reimbursement for Construction Programs
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Request for Advance or Reimbursement
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Current and Pending Support
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Certification Regarding Lobbying
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	"Key Contacts Form
202038	General Administrative Requirement for Assistance Programs: Individuals	Form and Instruction	Modified	Fellowship Application
202038	General Administrative Requirement for Assistance Programs: Individuals	Form and Instruction	Modified	EPA Completion of Studies Notice
202038	General Administrative Requirement for Assistance Programs: Individuals	Form and Instruction	Modified	Fellowship Stipend Payment Enrollment Form
202038	General Administrative Requirement for Assistance Programs: Individuals	Form and Instruction	Modified	Agency Fellowship Certification
202038	General Administrative Requirement for Assistance Programs: Individuals	Form and Instruction	Modified	Fellowship Facilities and Commitment Statemen
202038	General Administrative Requirement for Assistance Programs: Individuals	Form and Instruction	Modified	Fellowship Agreement
202038	General Administrative Requirement for Assistance Programs: Individuals	Form and Instruction	Modified	EPA Fellowship Activation Notice
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Limited Scope Administrative and Financial Review Questionnaire
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	MBE/WBE Utilization Under Federal Grants and Cooperative Agreements
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Lobbying Cost Certificate for Indirect Costs/Certificate of Indirect Costs for State and Local Governments
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	EPA Administrative Capability Questionnaire
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Tangible Personal Property Report Supplemental Sheet
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Tangible Personal Property Report Disposition Request/Report
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Tangible Personal Property Report Final Report
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Tangible Personal Property Report Annual Report
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Lobbying and Litigation Certificate
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	US EPA Payment Request
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	RPPR
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Data Collection Form for Single Audits
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Real Property Status Report
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Tangible Personal Property
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Disclosure of Lobbying Activities
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Outlay Report and Request for Reimbursement for Construction Programs
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Request for Advance or Reimbursement
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Current and Pending Support
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Certification Regarding Lobbying
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	"Key Contacts Form

ICR Details

OMB Control No: 2030-0020	ICR Reference No: 201410-2030-001
Status: Historical Active	Previous ICR Reference No: 201409-2030-001
Agency/Subagency: EPA/OMS	Agency Tracking No: 0938.20
Title: General Administrative Requirements for Assistance Programs (Change)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/05/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/17/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	06/30/2017	06/30/2017
Responses	46,967	0	46,967
Time Burden (Hours)	155,006	0	155,006
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for a renewal of an existing Information Collection Request (ICR) due to expire on April 30, 2009. This ICR authorizes the collection of information under EPA's General Regulation for Assistance Programs that establishes the minimum management requirements for all recipients of EPA grants or cooperative agreements (assistance agreements). 40 CFR Part 30, "Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations," establishes the management requirements for institutions of higher education, hospitals, and other non-profit organizations, as well as procurement requirements for non-governmental recipients. 40 CFR Part 31, "Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments," includes the management requirements for States, local governments, and Indian Tribal governments. These regulations include only those provisions mandated by statute, required by Office of Management and Budget (OMB) Circulars, or added by EPA to ensure sound and effective financial assistance management. In addition, under Executive Orders 11625, 12138, and 12432, EPA is required to promote and report on programs to assist minority and women-owned enterprises. Under P.L. 101-507 and P.L. 102-389, EPA is required to set aside funds for socially and disadvantaged individuals/firms under the Small Business Act, 15 U.S.C. 537(a) (5) and (6). This ICR combines all of these requirements under OMB Control Number 2030-0020. EPA award officials will use the information required by these regulations to make assistance awards, to make assistance payments, and to verify that the recipient is using Federal funds appropriately to comply with Federal requirements.

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Authorizing Statute(s): None

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:
	76 FR 64942	10/19/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 24486	04/24/2012
Did the Agency receive public comments on this ICR? No

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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
General Administrative Requirement for Assistance Programs: Individuals	5770-7, 5770-8, 5770-3, 5770-5, 190-F-05-001, 5770-9, 5770-2	EPA Fellowship Activation Notice ,   Fellowship Agreement ,   Fellowship Facilities and Commitment Statemen ,   Agency Fellowship Certification ,   Fellowship Stipend Payment Enrollment Form ,   EPA Completion of Studies Notice ,   Fellowship Application
General Administrative Requirements for Assistance Programs: Non-Profits	5700-54, SF 428-B, SF 428-C, SF 428-S, SF 428-A, 6600-06, NCER Form 5, SF 270, SF 271, SF LLL, SF 428, SF 429, SF SAC, RPPR, 190-F-04-001, 5700-53, 6600-01, 6600-09, 6600-08, 5700-52A, 4700-4	"Key Contacts Form ,   Certification Regarding Lobbying ,   Current and Pending Support ,   Request for Advance or Reimbursement ,   Outlay Report and Request for Reimbursement for Construction Programs ,   Disclosure of Lobbying Activities ,   Tangible Personal Property ,   Real Property Status Report ,   Data Collection Form for Single Audits ,   RPPR ,   US EPA Payment Request ,   Lobbying and Litigation Certificate ,   Tangible Personal Property Report Annual Report ,   Tangible Personal Property Report Final Report ,   Tangible Personal Property Report Disposition Request/Report ,   Tangible Personal Property Report Supplemental Sheet ,   EPA Administrative Capability Questionnaire ,   Lobbying Cost Certificate for Indirect Costs/Certificate of Indirect Costs for State and Local Governments ,   MBE/WBE Utilization Under Federal Grants and Cooperative Agreements ,   Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance ,   Limited Scope Administrative and Financial Review Questionnaire
General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	5700-54, 6600-06, NCER Form 5, SF 270, SF 271, SF LLL, SF 428, SF 429, SF SAC, RPPR, 190-F-04-001, 5700-53, SF 428-A, SF 428-B, SF 428-C, SF 428-S, 6600-09, 6600-01, 4700-4, 5700-52A, 6600-08	"Key Contacts Form ,   Certification Regarding Lobbying ,   Current and Pending Support ,   Request for Advance or Reimbursement ,   Outlay Report and Request for Reimbursement for Construction Programs ,   Disclosure of Lobbying Activities ,   Tangible Personal Property ,   Real Property Status Report ,   Data Collection Form for Single Audits ,   RPPR ,   US EPA Payment Request ,   Lobbying and Litigation Certificate ,   Tangible Personal Property Report Annual Report ,   Tangible Personal Property Report Final Report ,   Tangible Personal Property Report Disposition Request/Report ,   Tangible Personal Property Report Supplemental Sheet ,   Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance ,   MBE/WBE Utilization Under Federal Grants and Cooperative Agreements ,   Lobbying Cost Certificate for Indirect Costs/Certificate of Indirect Costs for State and Local Governments ,   EPA Administrative Capability Questionnaire ,   Limited Scope Administrative and Financial Review Questionnaire

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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	46,967	46,967	0	0	0	0
Annual Time Burden (Hours)	155,006	155,006	0	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:

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Annual Cost to Federal Government: $8,194,651

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: 11/17/2014

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