Information Collection

State, Local, Tribal Government Reporting

IC 23993 under ICR 201905-2050-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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 6200-04 State, Local, Tribal Government Reporting Form and Instruction
BF AWP reporting form_2019 ICR Instructions Form 6200-13.pdf www.wamssoprd.epa.gov/oam Instruction
Program Activity Level (PAL) Instructions_2019 ICR Form 6200-017.pdf www.wamssoprd.epa.gov/oam Instruction
6200-03 Brownfields Area-Wide Planning Cooperative Agreement Rep Property Profile Final -Form 6200-03.pdf www.wamssoprd.epa.gov/oam Form and Instruction
6200-04 Job Training Reporting Form Job Training Reporting Form & Instructions_ 2019 ICR Form 6200-04.pdf www.wamssoprd.epa.gov/oam Form and Instruction
6200-14 Brownfields Area-Wide Planning Cooperative Agreement Rep BF AWP reporting form_2019 ICR Form 6200-14.pdf www.wamssoprd.epa.gov/oam 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 2 CFR 200.333 2 CFR 200.335

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6200-04	Job Training Reporting Form	Job Training Reporting Form & Instructions_ 2019 ICR Form 6200-04.pdf	https://www.wamssoprd.epa.gov/oam	Yes	Yes	Fillable Fileable
Form and Instruction	6200-03	Brownfields Area-Wide Planning Cooperative Agreement Reporting Form	Property Profile Final -Form 6200-03.pdf	https://www.wamssoprd.epa.gov/oam	Yes	Yes	Fillable Fileable Signable
Instruction			BF AWP reporting form_2019 ICR Instructions Form 6200-13.pdf	https://www.wamssoprd.epa.gov/oam	Yes	Yes	Fillable Fileable
Form and Instruction	6200-14	Brownfields Area-Wide Planning Cooperative Agreement Reporting Form	BF AWP reporting form_2019 ICR Form 6200-14.pdf	https://www.wamssoprd.epa.gov/oam	Yes	Yes	Fillable Fileable
Instruction			Program Activity Level (PAL) Instructions_2019 ICR Form 6200-017.pdf	https://www.wamssoprd.epa.gov/oam	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,019	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,079	-387	4,466
Annual IC Time Burden (Hours)	4,324	645	3,679
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.