Information Collection

General Administrative Requirements for Assistance Programs: Non-Profits

IC 188505 under ICR 201704-2030-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 190-F-04-001 General Administrative Requirements for Assistance Programs: Non-Profits	Form
190-F-04-001 US EPA Payment Request 0938.21 Form 190-F-04-001.pdf www.epa.gov/grants/epa-grantee-forms	Form
4700-4 Preaward Compliance Review Report for All Applicants and 0938.21 Form 4700-4.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
5700-52A MBE/WBE Utilization Under Federal Grants and Cooperative 0938.21 Form 5700-52a.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
5700-53 Lobbying and Litigation Certification for Grants and Coo 0938.21 Form 5700-53.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
5700-54 Key Contacts Form 0938.21 Form 5700-54.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
5700-54-2 Additional Key Contacts 0938.21 Form 5700-542-sec-0.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
6600-01 Limited Scope Administrative and Financial Review Questi 0938.21 Form 6600-01.docx www.epa.gov/grants/epa-grantee-forms	Form and Instruction
6600-06 Certification Regarding Lobbying; Contracts, Grants, Loa 0938.21 Form 6600-06.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
6600-08 Lobbying Cost Certificate 0938.21 Form 6600-08.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
6600-09 EPA Administrative Capability Questionnaire 0938.21 Form 6600-09.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
NCER Form 5 Current and Pending Support 0938.21 NCER Form 5.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

General Administrative Requirements for Assistance Programs: Non-Profits

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 30 2 CFR 200 2 CFR 1500

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	190-F-04-001	US EPA Payment Request	0938.21 Form 190-F-04-001.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form and Instruction	4700-4	Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance	0938.21 Form 4700-4.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form and Instruction	5700-52A	MBE/WBE Utilization Under Federal Grants and Cooperative Agreements	0938.21 Form 5700-52a.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form and Instruction	5700-53	Lobbying and Litigation Certification for Grants and Cooperative Agreements	0938.21 Form 5700-53.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form and Instruction	5700-54	Key Contacts Form	0938.21 Form 5700-54.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form and Instruction	5700-54-2	Additional Key Contacts	0938.21 Form 5700-542-sec-0.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form and Instruction	6600-01	Limited Scope Administrative and Financial Review Questionnaire for EPA Assistance Agreement Desk Reviews	0938.21 Form 6600-01.docx	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Fileable
Form and Instruction	6600-06	Certification Regarding Lobbying; Contracts, Grants, Loans and Cooperative Agreements	0938.21 Form 6600-06.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Fileable
Form and Instruction	6600-08	Lobbying Cost Certificate	0938.21 Form 6600-08.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Fileable
Form and Instruction	6600-09	EPA Administrative Capability Questionnaire	0938.21 Form 6600-09.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Fileable
Form and Instruction	NCER Form 5	Current and Pending Support	0938.21 NCER Form 5.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Fileable

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: 1,288

Number of Respondents for Small Entity: 1,159

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,526	-4,982	12,508
Annual IC Time Burden (Hours)	25,363	-18,885	44,248
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.