Information Collection Request

Diesel Emissions Reduction Act (DERA) Rebate Program (Renewal)

ICR 201510-2060-006 · OMB 2060-0686 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5900-261 Payment Request Form Modified Repair queued
Form 5900-261 Payment Request Form Modified Available
Form 5900-266 Rebate Application Form Modified Repair queued
Form 5900-266 Rebate Application Form Modified Available
ICR 2015 Appendix A DRAFT 10-06-15.xlsx Supplementary Document Uploaded 2015-10-30 Available
2461ss02.docx Supporting Statement A Uploaded 2015-10-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
203618 Application for Payment Request - Private Fleets and Non-profits Form ModifiedPayment Request
203617 Payment Request - State and Local Government Form ModifiedPayment Request
203616 Rebate Application - Private and Non-profits Form ModifiedRebate Application
203615 Rebate Applications - State and Local Government Form ModifiedRebate Application

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2019 36 Months From Approved 03/31/2016
823 0 220
2,827 0 894
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Application for Payment Request - Private Fleets and Non-profits 5900-261
Payment Request - State and Local Government 5900-261
Rebate Application - Private and Non-profits 5900-266
Rebate Applications - State and Local Government 5900-266

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 823 220 0 0 603 0
Annual Time Burden (Hours) 2,827 894 0 0 1,933 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No