Information Collection

General Administrative Requirement for Assistance Programs: Fellowships

IC 202038 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⚠️ Notice: This information collection may be referencing outdated material.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-05-001 General Administrative Requirement for Assistance Programs: Fellowships	Form and Instruction
190-F-05-001 Fellowship Stipend Payment Enrollment Form 0938.21 Form 190-F-05-001.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
5770-2 Fellowship Application 0938.21 Form 5770-2.pdf www.epa.gov/grants/epa-grantee-forms	Form and Instruction
5770-3 Fellowship Facilities and Commitment Statement 0938.21 Form 5770-3.pdf www.epa.gov/grants/epa-grantee-forms	Form
5770-5 Agency Fellowship Certification 0938.21 Form 5770-5.pdf www.epa.gov/grants/epa-grantee-forms	Form
5770-7 EPA Fellowship Activation Notice 0938.21 Form 5770-7.pdf	Form
5770-8 Fellowship Agreement 0938.21 Form 5770-8.pdf	Form
5770-9 Completion of Studies Notice 0938.21 Form 5770-9.pdf www.epa.gov/grants/epa-grantee-forms	Form

IC Title:

General Administrative Requirement for Assistance Programs: Fellowships

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 and Instruction	190-F-05-001	Fellowship Stipend Payment Enrollment Form	0938.21 Form 190-F-05-001.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form and Instruction	5770-2	Fellowship Application	0938.21 Form 5770-2.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form	5770-3	Fellowship Facilities and Commitment Statement	0938.21 Form 5770-3.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form	5770-5	Agency Fellowship Certification	0938.21 Form 5770-5.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable
Form	5770-7	EPA Fellowship Activation Notice	0938.21 Form 5770-7.pdf		No		Paper Only
Form	5770-8	Fellowship Agreement	0938.21 Form 5770-8.pdf		No		Paper Only
Form	5770-9	Completion of Studies Notice	0938.21 Form 5770-9.pdf	https://www.epa.gov/grants/epa-grantee-forms	Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 1,200

Affected Public: Individuals or Households

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	3,840	-1,435	5,275
Annual IC Time Burden (Hours)	5,580	-1,933	7,513
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.