Information Collection

Application for Payment Request - Private Fleets and Non-profits

IC 203618 under ICR 201510-2060-006 · OMB 2060-0686.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0686 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5900-261 Application for Payment Request - Private Fleets and Non-profits	Form
5900-261 Payment Request 2015-ICR-Renewal-clean-diesel-rebate-payment - 10.27.15.pdf	Form

IC Title:

Application for Payment Request - Private Fleets and Non-profits

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	5900-261	Payment Request	2015-ICR-Renewal-clean-diesel-rebate-payment - 10.27.15.pdf		Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8	-42	50
Annual IC Time Burden (Hours)	18	-112	130
Annual IC Cost Burden (Dollars)	0	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.