Information Collection

State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments

IC 185951 under ICR 202103-0596-002 · OMB 0596-0217.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0217 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS-1500-10 State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments	Form and Instruction
FS-1500-10 Challenge Cost-Share Agreement FS 1500-10 Challenge Cost Share Agreement.docx	Form and Instruction
FS-1500-11 Collection Agreement FS 1500-11 Collection Agreement.docx	Form and Instruction
FS-1500-12 Cost-Reimbursable Agreement FS 1500-12 Cost Reimbursable Agreement 2.0.docx	Form and Instruction
FS-1500-13 Cooperative Research and Development Agreement FS 1500-13 Cooperative Research and Development Agreement 2.0.docx	Form and Instruction
FS-1500-14 Joint Venture Agreement FS 1500-14 Joint Venture Agreement 2.0.docx	Form and Instruction
FS-1500-16 Participating Agreement FS 1500-16 Participating Agreement 2.0.docx	Form and Instruction
FS-1500-8 Coooperative Law Enforcement Agreement FS 1500-8 Cooperative Law Enforcement Agreement 2.0.docx	Form and Instruction
FS-1500-19 Modification Form FS 1500-19 Modification.doc	Form and Instruction
FS-1500-7 Cooperative Fire Protection Agreement FS 1500-7 Cooperative Fire Agreement 2.0.docx	Form and Instruction
FS-1500-8a Cooperative Law Enforcement AOP FS 1500-8a Cooperative Law Enforcement AOP 2.0.doc	Form and Instruction
FS-1500-9 Cooperative Forest Road Agreement FS 1500-9 Cooperative Forest Road Agreement 2.0.docx	Form and Instruction
FS-1500-15 Memorandum of Understanding FS 1500-15 Memorandum of Understanding 2.0.docx	Form and Instruction
FS-1500-17a Financial Plan A FS 1500-17a Fin Plan Long Form.xlsx	Form and Instruction
FS-1500-17b Financial Plan B FS 1500-17b Financial Plan Short Form.xlsx	Form and Instruction
FS-1500-18 Collection Agreement Financial Plan FS 1500-18 Collection Agreement Financial Plan.xlsx	Form and Instruction
FS-1500-9a Road Project Agreement FS 1500-9a Road Project Agreement 2.0.doc	Form and Instruction
FS-1500-10a Master Challenge Cost Share Agreement FS 1500-10a Master Challenge Cost Share Agreement.docx	Form and Instruction
FS-1500-13a Material Transfer Agreement FS 1500-13a Material Transfer Agreement 2.0.docx	Form and Instruction
FS-1500-13b Nondisclosure Agreement FS 1500-13b Nondisclosure Agreement 2.0.docx	Form and Instruction
FS-1500-15a Memorandum of Understanding for Cooperative Frequency Us FS 1500-15A Frequency MOU 2.0.docx	Form and Instruction
FS-1500-10b Challenge Cost Share Supplemental Project Agreement FS 1500-10b Challenge Cost Share SPA.docx	Form and Instruction
FS-1500-16a Master Participating Agrement FS 1500-16a Master Participating Agreement 2.0.docx	Form and Instruction
FS-1500-16b Participating Agreement Supplemental Project Agreement FS 1500-16b Participating Agreement SPA 2.0.docx	Form and Instruction
FS-1500-17c Agreement Financial Plan (Medium Form) FS 1500-17c Fin Plan Medium Form.xlsx	Form and Instruction
FS-1500-21 Master Stewardship Agreement FS 1500-21 Master Stewardship Agreement_Complete.docx	Form and Instruction
FS-1500-21a Stewardship Agreement Supplemental Project Agreement FS 1500-21a Stewardship Agreement SPA_Complete.docx	Form and Instruction
FS-1500-21b Stewardship Financial Plan FS1500-21B.xlsx	Form and Instruction
FS-1500-21c Stewardship Agreement FS 1500-21c Stewardship Agreement_Complete.docx	Form and Instruction
FS-1500-11A Collection Agreement RMEF Reimbursable FS 1500-11a Collection Agreement RMEF Reimbursable with instructions.doc	Form and Instruction
FS-1500-11B Collection Agrement RMEF Advance FS 1500-11b Collection Agreement RMEF Advance with instructions.docx	Form and Instruction
FS-1500-14A International Joint Venture Agreement FS 1500-14a International Joint Venture Agreement 2.0.doc	Form and Instruction
FS-1500-16c Participating Agreement with Interpretive Association FS 1500-16c Participating Agreement with Interpretive Assn 2.0.docx	Form and Instruction
FS-1500-16d Master Participating Agreement with Interpretive Associa FS 1500-16D Master Participating Agreement with IA.doc	Form and Instruction
FS-1500-16e Participating Agreement SPA with Interpretive Associatio FS 1500-16e Participating Agreement SPA with IA 2.0.docx	Form and Instruction
FS-1500-16f Participating Agreement for Fuels or Noxious Weed Treatm FS 1500-16f Participating Agreement for Fuels or Noxious Weed Treatment 2.0.docx	Form and Instruction
SF-424 Application for Federal Assistance SF-424 Application for Federal Assistance.pdf	Form and Instruction
SF-424 (R&R) Application for Federal Assistance (Research & Related) SF-424 (RandR) Application for Federal Assistance.pdf	Form and Instruction
FS-1500-23 Optional Project Progress Report FS 1500 23 Optional Project Progress Report.docx	Form and Instruction
FS-1500-22 Financial Capability Questionaire FS 1500-22 Financial Capability Questionaire 2.0.docx	Form and Instruction
FS-1500-22b Financial Capability Checklist for State Government Agen FS 1500-22B Financial Capability Checklist for State Government Agencies Only 2.0.docx	Form
FS-1500-34 Grant Equipment Justification and Certification Statemen FS 1500-34 Grant Equipment Justification and Certification Statement.docx	Form
FS-1500-35 Certification Regarding Lobbying FS 1500-35 Certification Regarding Lobbying 2.0.docx	Form
FS-1500-10c Non Funded Challenge Cost Share Agreement FS 1500-10c Non-Funded Challenge Cost Share Agreement.docx	Form and Instruction
FS-1500-16g Non Funded Participating Agreement FS 1500-16g Non Funded Participating Agreement.docx	Form and Instruction
FS-1500-21d Stewardship Agreements (Short Form) FS 1500-21d Stewardship Agreement (Short form)_Complete.docx	Form and Instruction
Supplemental Provi Supplemental Provisions to the 7600A Supplemental Provisions to the 7600A.docx	Form and Instruction
FA-1500-36 Good Neighbor Agreement FS 1500-36 Good Neighbor Agreement Updated 8 31 17.docx	Form and Instruction
FS-1500-36a Good Neighbor Agreement Master Farm Bill Agreement FS 1500-36a GNA Master Farm Bill Agreement revised 7 24 15.docx	Form and Instruction
FS-1500-36b Good Neighbor Agreement Supplemental Project Agreement FS 1500-36b GNA Supplemental Project Agreement Updated 8 31 17.docx	Form and Instruction
FS-1500-37 Good Neighbor Agreement Appropriations Act Agreement FS-1500-37 GNA Appropriations Act Agreement.docx	Form and Instruction
FS-6500-235 De-obligation and Closeout Request Form fs_6500_235.doc	Form and Instruction
FS-1500-22 Financial Capability Questionnaire FS 1500-22 Financial Capability Questionaire.docx	Form
FS-1500-22A Financial Capability Checklist FS 1500-22A Financial Capability Checklist.docx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Form and Instruction	FS-1500-10	Challenge Cost-Share Agreement	FS 1500-10 Challenge Cost Share Agreement.docx	No		Paper Only
Form and Instruction	FS-1500-11	Collection Agreement	FS 1500-11 Collection Agreement.docx	No		Paper Only
Form and Instruction	FS-1500-12	Cost-Reimbursable Agreement	FS 1500-12 Cost Reimbursable Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-13	Cooperative Research and Development Agreement	FS 1500-13 Cooperative Research and Development Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-14	Joint Venture Agreement	FS 1500-14 Joint Venture Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-16	Participating Agreement	FS 1500-16 Participating Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-8	Coooperative Law Enforcement Agreement	FS 1500-8 Cooperative Law Enforcement Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-19	Modification Form	FS 1500-19 Modification.doc	Yes	Yes	Fillable Printable
Form and Instruction	FS-1500-7	Cooperative Fire Protection Agreement	FS 1500-7 Cooperative Fire Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-8a	Cooperative Law Enforcement AOP	FS 1500-8a Cooperative Law Enforcement AOP 2.0.doc	No		Paper Only
Form and Instruction	FS-1500-9	Cooperative Forest Road Agreement	FS 1500-9 Cooperative Forest Road Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-15	Memorandum of Understanding	FS 1500-15 Memorandum of Understanding 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-17a	Financial Plan A	FS 1500-17a Fin Plan Long Form.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	FS-1500-17b	Financial Plan B	FS 1500-17b Financial Plan Short Form.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	FS-1500-18	Collection Agreement Financial Plan	FS 1500-18 Collection Agreement Financial Plan.xlsx	Yes	Yes	Fillable Printable
Form and Instruction	FS-1500-9a	Road Project Agreement	FS 1500-9a Road Project Agreement 2.0.doc	No		Paper Only
Form and Instruction	FS-1500-10a	Master Challenge Cost Share Agreement	FS 1500-10a Master Challenge Cost Share Agreement.docx	No		Paper Only
Form and Instruction	FS-1500-13a	Material Transfer Agreement	FS 1500-13a Material Transfer Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-13b	Nondisclosure Agreement	FS 1500-13b Nondisclosure Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-15a	Memorandum of Understanding for Cooperative Frequency Usage	FS 1500-15A Frequency MOU 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-10b	Challenge Cost Share Supplemental Project Agreement	FS 1500-10b Challenge Cost Share SPA.docx	No		Paper Only
Form and Instruction	FS-1500-16a	Master Participating Agrement	FS 1500-16a Master Participating Agreement 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-16b	Participating Agreement Supplemental Project Agreement	FS 1500-16b Participating Agreement SPA 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-17c	Agreement Financial Plan (Medium Form)	FS 1500-17c Fin Plan Medium Form.xlsx	Yes	No	Fillable Printable
Form and Instruction	FS-1500-21	Master Stewardship Agreement	FS 1500-21 Master Stewardship Agreement_Complete.docx	No		Paper Only
Form and Instruction	FS-1500-21a	Stewardship Agreement Supplemental Project Agreement	FS 1500-21a Stewardship Agreement SPA_Complete.docx	No		Paper Only
Form and Instruction	FS-1500-21b	Stewardship Financial Plan	FS1500-21B.xlsx	Yes	No	Fillable Printable
Form and Instruction	FS-1500-21c	Stewardship Agreement	FS 1500-21c Stewardship Agreement_Complete.docx	No		Paper Only
Form and Instruction	FS-1500-11A	Collection Agreement RMEF Reimbursable	FS 1500-11a Collection Agreement RMEF Reimbursable with instructions.doc	No		Paper Only
Form and Instruction	FS-1500-11B	Collection Agrement RMEF Advance	FS 1500-11b Collection Agreement RMEF Advance with instructions.docx	No		Paper Only
Form and Instruction	FS-1500-14A	International Joint Venture Agreement	FS 1500-14a International Joint Venture Agreement 2.0.doc	No		Paper Only
Form and Instruction	FS-1500-16c	Participating Agreement with Interpretive Association	FS 1500-16c Participating Agreement with Interpretive Assn 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-16d	Master Participating Agreement with Interpretive Association	FS 1500-16D Master Participating Agreement with IA.doc	No		Paper Only
Form and Instruction	FS-1500-16e	Participating Agreement SPA with Interpretive Association	FS 1500-16e Participating Agreement SPA with IA 2.0.docx	No		Paper Only
Form and Instruction	FS-1500-16f	Participating Agreement for Fuels or Noxious Weed Treatment	FS 1500-16f Participating Agreement for Fuels or Noxious Weed Treatment 2.0.docx	No		Paper Only
Form and Instruction	SF-424	Application for Federal Assistance	SF-424 Application for Federal Assistance.pdf	Yes	No	Fillable Fileable Signable
Form and Instruction	SF-424 (R&R)	Application for Federal Assistance (Research & Related)	SF-424 (RandR) Application for Federal Assistance.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FS-1500-23	Optional Project Progress Report	FS 1500 23 Optional Project Progress Report.docx	Yes	Yes	Fillable Printable
Form and Instruction	FS-1500-22	Financial Capability Questionaire	FS 1500-22 Financial Capability Questionaire 2.0.docx	Yes	Yes	Fillable Printable
Form	FS-1500-22b	Financial Capability Checklist for State Government Agencies Only	FS 1500-22B Financial Capability Checklist for State Government Agencies Only 2.0.docx	Yes	Yes	Fillable Printable
Form	FS-1500-34	Grant Equipment Justification and Certification Statement	FS 1500-34 Grant Equipment Justification and Certification Statement.docx	Yes	Yes	Fillable Printable
Form	FS-1500-35	Certification Regarding Lobbying	FS 1500-35 Certification Regarding Lobbying 2.0.docx	Yes	Yes	Paper Only
Form and Instruction	FS-1500-10c	Non Funded Challenge Cost Share Agreement	FS 1500-10c Non-Funded Challenge Cost Share Agreement.docx	No		Paper Only
Form and Instruction	FS-1500-16g	Non Funded Participating Agreement	FS 1500-16g Non Funded Participating Agreement.docx	No		Paper Only
Form and Instruction	FS-1500-21d	Stewardship Agreements (Short Form)	FS 1500-21d Stewardship Agreement (Short form)_Complete.docx	No		Paper Only
Form and Instruction	Supplemental Provisions	Supplemental Provisions to the 7600A	Supplemental Provisions to the 7600A.docx	Yes	Yes	Fillable Printable
Form and Instruction	FA-1500-36	Good Neighbor Agreement	FS 1500-36 Good Neighbor Agreement Updated 8 31 17.docx	Yes	Yes	Fillable Printable
Form and Instruction	FS-1500-36a	Good Neighbor Agreement Master Farm Bill Agreement	FS 1500-36a GNA Master Farm Bill Agreement revised 7 24 15.docx	Yes	Yes	Fillable Printable
Form and Instruction	FS-1500-36b	Good Neighbor Agreement Supplemental Project Agreement	FS 1500-36b GNA Supplemental Project Agreement Updated 8 31 17.docx	Yes	Yes	Fillable Printable
Form and Instruction	FS-1500-37	Good Neighbor Agreement Appropriations Act Agreement	FS-1500-37 GNA Appropriations Act Agreement.docx	Yes	Yes	Fillable Printable
Form and Instruction	FS-6500-235	De-obligation and Closeout Request Form	fs_6500_235.doc	Yes	Yes	Fillable Printable
Form	FS-1500-22	Financial Capability Questionnaire	FS 1500-22 Financial Capability Questionaire.docx	No		Paper Only
Form	FS-1500-22A	Financial Capability Checklist	FS 1500-22A Financial Capability Checklist.docx	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,004

Number of Respondents for Small Entity: 404

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,004	2,004
Annual IC Time Burden (Hours)	17,395	17,395
Annual IC Cost Burden (Dollars)	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.