General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments

General Administrative Requirements for Assistance Programs (Renewal)

OMB: 2030-0020

IC ID: 23551

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0020 can be found here:

2021-04-30 - Extension without change of a currently approved collection

Documents and Forms

Document Name Document Type
Form 190-F-04-001 General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments Form
190-F-04-001 U.S. 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 Appendix A 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: State, Local, Tribal Governments	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 31 40 CFR 35 2 CFR 200 2 CFR 1500

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	190-F-04-001	U.S. 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	Appendix A 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: 3,004	Number of Respondents for Small Entity: 2,403

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17,560	-11,624	29,184
Annual IC Time Burden (Hours)	59,181	-44,064	103,245
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.