State, Local, Tribal Government Reporting

Brownfields Programs - Accomplishment Reporting (Renewal)

⚠️ Notice: This information collection may be referencing outdated material.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
Program Activity Level (PAL) Report Form 6200-04 Instructions.pdf Instruction
Property Profile Form 6200-03 Instructions.pdf Instruction
6200-04 Program Activity Level (PAL) Reporting Form 6200-04 Program Activity Level (PAL) Reporting Form 6200-04.pdf Form
6200-13 BF AWP Reporting Form & Instructions 6200-13 BF AWP Reporting Form & Instructions 6200-13.pdf Form and Instruction
6200-03 Property Profile Form 6200-03 Property Profile Form 6200-03.pdf Form
6200-22 Job Training Reporting Form & Instructions 6200-22 Job Training Reporting Form & Instructions 6200-22.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	State, Local, Tribal Government Reporting	Agency IC Tracking Number:	2104.08

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Program Activity Level (PAL) Report Form 6200-04 Instructions.pdf	Yes	Yes	Fillable Fileable
Form	6200-04	Program Activity Level (PAL) Reporting Form 6200-04	Program Activity Level (PAL) Reporting Form 6200-04.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	6200-13	BF AWP Reporting Form & Instructions 6200-13	BF AWP Reporting Form & Instructions 6200-13.pdf	Yes	Yes	Fillable Fileable
Instruction			Property Profile Form 6200-03 Instructions.pdf	Yes	Yes	Fillable Fileable
Form	6200-03	Property Profile Form 6200-03	Property Profile Form 6200-03.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	6200-22	Job Training Reporting Form & Instructions 6200-22	Job Training Reporting Form & Instructions 6200-22.pdf	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,362	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,651	572	4,079
Annual IC Time Burden (Hours)	5,179	855	4,324
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.