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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.