Information Collection

General Administrative Requirement for Assistance Programs: Individuals

IC 202038 under ICR 201410-2030-001 · OMB 2030-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0020 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5770-7 General Administrative Requirement for Assistance Programs: Individuals	Form and Instruction
5770-7 EPA Fellowship Activation Notice EPA Form 5770-7.pdf	Form and Instruction
5770-8 Fellowship Agreement EPA Form 5770-8.pdf	Form and Instruction
5770-3 Fellowship Facilities and Commitment Statemen EPA Form 5770-3.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-5 Agency Fellowship Certification EPA Form 5770-5.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
190-F-05-001 Fellowship Stipend Payment Enrollment Form EPA Form 190-F-05-001.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-9 EPA Completion of Studies Notice EPA Form 5770-9.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction
5770-2 Fellowship Application EPA Form 5770-2 Rev 6.5.15.pdf www.epa.gov/ogd/forms/forms.htm	Form and Instruction

IC Title:

General Administrative Requirement for Assistance Programs: Individuals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	5770-7	EPA Fellowship Activation Notice	EPA Form 5770-7.pdf	none	No	No	Fillable Printable
Form and Instruction	5770-8	Fellowship Agreement	EPA Form 5770-8.pdf	none	No	No	Fillable Printable
Form and Instruction	5770-3	Fellowship Facilities and Commitment Statemen	EPA Form 5770-3.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-5	Agency Fellowship Certification	EPA Form 5770-5.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	190-F-05-001	Fellowship Stipend Payment Enrollment Form	EPA Form 190-F-05-001.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-9	EPA Completion of Studies Notice	EPA Form 5770-9.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-2	Fellowship Application	EPA Form 5770-2 Rev 6.5.15.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,575

Number of Respondents for Small Entity: 1,575

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,275	5,275
Annual IC Time Burden (Hours)	7,513	7,513
Annual IC Cost Burden (Dollars)	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.