Information Collection

State, Local, Tribal Government Reporting

IC 23993 under ICR 202012-2050-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.