Information Collection

State, Local, Tribal Government Reporting

IC 23993 under ICR 201604-2050-003 · OMB 2050-0192.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2050-0192 can be found here:

Documents and Forms

Document Name Document Type
Form 6200-13 State, Local, Tribal Government Reporting Form and Instruction
2104.06 Property Profile Form 6200-03 Instructions.docx cfext.epa.gov/acres/ Instruction
6200-13 Brownfields Area-Wide Planning Cooperative Agreement Rep 2104.06 BF AWP Reporting Form 6200-13.docx cfext.epa.gov/acres/ Form and Instruction
6200-14 Brownfields Area-Wide Planning Cooperative Agreement Rep 2104.06 BF AWP Reporting Form 6200-14.xlsx cfext.epa.gov/acres/ Form and Instruction
6200-03 Property Profile Form - Brownfields 2104.06 Attachment A Property Profile Form 6200-03.xlsx cfext.epa.gov/acres/ Form
6200-04 Job Training Reporting Form 2104.06 Job Training Reporting Form 6200-04.docx cfext.epa.gov/acres/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State, Local, Tribal Government Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 200.328 40 CFR 30-31 2 CFR 200.333 2 CFR 200.335 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6200-13	Brownfields Area-Wide Planning Cooperative Agreement Reporting Form	2104.06 BF AWP Reporting Form 6200-13.docx	https://cfext.epa.gov/acres/	Yes	Yes	Fillable Fileable
Form and Instruction	6200-14	Brownfields Area-Wide Planning Cooperative Agreement Reporting Form	2104.06 BF AWP Reporting Form 6200-14.xlsx	https://cfext.epa.gov/acres/	Yes	Yes	Fillable Fileable
Form	6200-03	Property Profile Form - Brownfields	2104.06 Attachment A Property Profile Form 6200-03.xlsx	https://cfext.epa.gov/acres/	Yes	Yes	Fillable Fileable
Instruction			2104.06 Property Profile Form 6200-03 Instructions.docx	https://cfext.epa.gov/acres/	Yes	Yes	Fillable Fileable
Form and Instruction	6200-04	Job Training Reporting Form	2104.06 Job Training Reporting Form 6200-04.docx	https://cfext.epa.gov/acres/	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,782	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,466	1,990	2,476
Annual IC Time Burden (Hours)	3,679	698	2,981
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.