Information Collection

General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments

IC 23551 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 5700-54 General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments Form and Instruction
5700-54 EPA Form 5700-54.pdf www.epa.gov/ogd/forms/forms.htm Form and Instruction
6600-06 Certification Regarding Lobbying EPA Form 6600-06.pdf www.epa.gov/ogd/AppKit/application.htm Form and Instruction
NCER Form 5 Current and Pending Support NCER Form 5.pdf epa.gov/ncer/rfa/forms/NCER_std_form_5-STAR_Grant_applications.pdf Form and Instruction
SF 270 Request for Advance or Reimbursement sf270.pdf www.epa.gov/ogd/forms/forms.htm Form and Instruction
SF 271 Outlay Report and Request for Reimbursement for Construc sf271.pdf www.epa.gov/ogd/forms/forms.htm Form and Instruction
SF LLL Disclosure of Lobbying Activities sflllin.pdf www.epa.gov/ogd/forms/forms.htm Form and Instruction
SF 428 Tangible Personal Property sf-428.pdf www.whitehouse.gov/omb/grants_forms Form and Instruction
SF 429 Real Property Status Report sf-429.pdf www.whitehouse.gov/omb/grants_forms Form and Instruction
SF SAC Data Collection Form for Single Audits 2010_SF-SAC_Revison.pdf www.whitehouse.gov/omb/grants_forms Form and Instruction
RPPR RPPR RPPR format 02-09-12.doc Form and Instruction
190-F-04-001 US EPA Payment Request EPA Form 190-F-04-001.pdf www.epa.gov/ogd/forms/forms.htm Form and Instruction
5700-53 Lobbying and Litigation Certificate EPA Form 5700-53.pdf www.epa.gov/ogd/forms/forms.htm Form and Instruction
SF 428-A Tangible Personal Property Report Annual Report SF-428-A.pdf www.whitehouse.gov/omb/grants_forms Form and Instruction
SF 428-B Tangible Personal Property Report Final Report SF-428-B.pdf www.whitehouse.gov/omb/grants_forms Form and Instruction
SF 428-C Tangible Personal Property Report Disposition Request/Re SF-428-C.pdf www.whitehouse.gov/omb/grants_forms Form and Instruction
SF 428-S Tangible Personal Property Report Supplemental Sheet SF-428-S.pdf www.whitehouse.gov/omb/grants_forms Form and Instruction
4700-4 Preaward Compliance Review Report for All Applicants and EPA Form 4700-4 Rev 6.5.15.pdf www.epa.gov/ogd/forms/forms.htm Form and Instruction
5700-52A MBE/WBE Utilization Under Federal Grants and Cooperative EPA Form 5700-52A Rev 6.5.15.docx www.epa.gov/ogd/forms/forms.htm Form and Instruction
6600-08 Lobbying Cost Certificate for Indirect Costs/Certificate EPA Form 6600-08 Rev 6.5.15.pdf Form and Instruction
6600-09 EPA Administrative Capability Questionnaire EPA Form 6600-09 Rev 6.5.15.pdf Form and Instruction
6600-01 Limited Scope Administrative and Financial Review Questi EPA Form 6600-01 Rev 6.5.15.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 31

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5700-54	"Key Contacts Form	EPA Form 5700-54.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-06	Certification Regarding Lobbying	EPA Form 6600-06.pdf	http://www.epa.gov/ogd/AppKit/application.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	NCER Form 5	Current and Pending Support	NCER Form 5.pdf	http://epa.gov/ncer/rfa/forms/NCER_std_form_5-STAR_Grant_applications.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF 428-A	Tangible Personal Property Report Annual Report	SF-428-A.pdf	http://www.whitehouse.gov/omb/grants_forms	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF 428-B	Tangible Personal Property Report Final Report	SF-428-B.pdf	http://www.whitehouse.gov/omb/grants_forms	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF 270	Request for Advance or Reimbursement	sf270.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF 271	Outlay Report and Request for Reimbursement for Construction Programs	sf271.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF LLL	Disclosure of Lobbying Activities	sflllin.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF 428	Tangible Personal Property	sf-428.pdf	http://www.whitehouse.gov/omb/grants_forms	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF 429	Real Property Status Report	sf-429.pdf	http://www.whitehouse.gov/omb/grants_forms	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF SAC	Data Collection Form for Single Audits	2010_SF-SAC_Revison.pdf	http://www.whitehouse.gov/omb/grants_forms	Yes	Yes	Fillable Fileable Signable
Form and Instruction	RPPR	RPPR	RPPR format 02-09-12.doc	none	No	No	Fillable Printable
Form and Instruction	190-F-04-001	US EPA Payment Request	EPA Form 190-F-04-001.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5700-53	Lobbying and Litigation Certificate	EPA Form 5700-53.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	4700-4	Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance	EPA Form 4700-4 Rev 6.5.15.pdf	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5700-52A	MBE/WBE Utilization Under Federal Grants and Cooperative Agreements	EPA Form 5700-52A Rev 6.5.15.docx	http://www.epa.gov/ogd/forms/forms.htm	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-08	Lobbying Cost Certificate for Indirect Costs/Certificate of Indirect Costs for State and Local Governments	EPA Form 6600-08 Rev 6.5.15.pdf		No		Fillable Printable
Form and Instruction	SF 428-C	Tangible Personal Property Report Disposition Request/Report	SF-428-C.pdf	http://www.whitehouse.gov/omb/grants_forms	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SF 428-S	Tangible Personal Property Report Supplemental Sheet	SF-428-S.pdf	http://www.whitehouse.gov/omb/grants_forms	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-09	EPA Administrative Capability Questionnaire	EPA Form 6600-09 Rev 6.5.15.pdf		No		Fillable Printable
Form and Instruction	6600-01	Limited Scope Administrative and Financial Review Questionnaire	EPA Form 6600-01 Rev 6.5.15.docx		No		Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,726	Number of Respondents for Small Entity: 3,781

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	29,184	29,184
Annual IC Time Burden (Hours)	103,245	103,245
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.