Information Collection

RESTORE Act Direct Component & Centers of Excellence Research Grants Program

IC 222788 under ICR 201608-1505-005 · OMB 1505-0250.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0250 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1505-0250_01_RESTORE Centers of Excellence Certifications_fillable.pdf www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Centers%20of%20Excellence%20Research%20Grant%20Program%2	Other-null
1505-0250_02_RESTORE Direct Component Certifications_fillable.pdf www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Direct%20Component%20Applicant%20Certifications.pdf	Other-null
1505-0250_04_RESTORE Act Direct Component MYP Narrative_Fillable.pdf	Other-null
1505-0250_06_4.11_RESTORE Act Status of Performance Report_Fillable_Updated_Footer.pdf	Other-null
1505-0250_07_Treasury RESTORE Act Environmental Checklist_7_21_16.pdf www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Environmental%20Checklist.pdf	Other-checklist
1505-0250_09_Treasury RESTORE Act DC Multiyear Plan Matrix and Instructions_7_21_16.xlsx	Other-null
RESTORE Act Direct Component Application Narrative 1505-0250_03_RESTORE Direct Component Application Narrative_Fillable.pdf www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Direct%20Component%20Application%20Narrative.pdf	Form and Instruction
RESTORE Act Centers of Excellence Research Grant Program 1505-0250_05_RESTORE Act Centers of Excellence Research Grant Program Application Narrative_Fillable.pdf www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Centers%20of%20Excellence%20Research%20Grant%20Program%2	Form and Instruction
RESTORE Act Milestones Report 1505-0250_08_RESTORE Act Milestones Report.xlsx www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Milestones%20Report.pdf	Form
RESTORE Act Operational Self-Assessment 1505-0250_10_RESTORE Act Operational Self-Assessment _Fillable.pdf www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Operational%20Self-Assessment.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

RESTORE Act Direct Component & Centers of Excellence Research Grants Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 34

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
Other-null			1505-0250_01_RESTORE Centers of Excellence Certifications_fillable.pdf	https://www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Centers%20of%20Excellence%20Research%20Grant%20Program%20Applicant%20Certifications.pdf	Yes	Yes	Fillable Printable
Other-null			1505-0250_02_RESTORE Direct Component Certifications_fillable.pdf	https://www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Direct%20Component%20Applicant%20Certifications.pdf	Yes	Yes	Fillable Printable
Form and Instruction	n/a	RESTORE Act Direct Component Application Narrative	1505-0250_03_RESTORE Direct Component Application Narrative_Fillable.pdf	https://www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Direct%20Component%20Application%20Narrative.pdf	Yes	Yes	Fillable Printable
Other-null			1505-0250_04_RESTORE Act Direct Component MYP Narrative_Fillable.pdf		Yes	Yes	Fillable Printable
Form and Instruction	n/a	RESTORE Act Centers of Excellence Research Grant Program Application Narrative	1505-0250_05_RESTORE Act Centers of Excellence Research Grant Program Application Narrative_Fillable.pdf	https://www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Centers%20of%20Excellence%20Research%20Grant%20Program%20Application%20Narrative.pdf	Yes	Yes	Fillable Printable
Other-null			1505-0250_06_4.11_RESTORE Act Status of Performance Report_Fillable_Updated_Footer.pdf		Yes	Yes	Fillable Printable
Other-checklist			1505-0250_07_Treasury RESTORE Act Environmental Checklist_7_21_16.pdf	https://www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Environmental%20Checklist.pdf	Yes	Yes	Fillable Printable
Form	n/a	RESTORE Act Milestones Report	1505-0250_08_RESTORE Act Milestones Report.xlsx	https://www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Milestones%20Report.pdf	Yes	Yes	Fillable Printable
Other-null			1505-0250_09_Treasury RESTORE Act DC Multiyear Plan Matrix and Instructions_7_21_16.xlsx		Yes	Yes	Fillable Printable
Form	n/a	RESTORE Act Operational Self-Assessment	1505-0250_10_RESTORE Act Operational Self-Assessment _Fillable.pdf	https://www.treasury.gov/services/restore-act/Documents/RESTORE%20Act%20Operational%20Self-Assessment.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 5

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	385	385
Annual IC Time Burden (Hours)	6,142	6,142
Annual IC Cost Burden (Dollars)	921,224	921,224

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.