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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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:

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	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 %

table that charts list of burden
	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

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.