6600-08A Certificate of Indirect Costs for State and Local Grants

United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460

OMB Control No. 2030-0020
Approval expires MM/DD/YYYY

Certificate of Indirect Costs
For State & Local Governments
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0020). Responses to this collection of
information are required to obtain an assistance agreement (40 CFR Part 30, 40 CFR Part 31, and 40 CFR Part 33 for awards made prior to December 26, 2014, and 2 CFR 200,
2 CFR 1500, and 40 CFR Part 33 for awards made after December 26, 2014). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 0.25
hours per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing
respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.
Include the OMB control number in any correspondence. Do not send the completed form to this address.

This is to certify that I have reviewed the indirect cost rate proposal submitted herewith and to the
best of my knowledge and belief:
(1) All costs included in this proposal ______________________________________________
[identify date]

to establish billing or final indirect cost rates for
__________________________________________________________________________
[identify period(s) covered by the rate(s)]

are allowable in accordance with the requirements of the Federal award(s) to which they apply
and the provisions of 2 CFR Part 200 Subpart E-Cost Principles. Unallowable costs have
been adjusted for in allocating costs as indicated in the indirect cost proposal.
(2) All costs included in this proposal are properly allocable to Federal awards on the basis of a
beneficial or causal relationship between the expenses incurred and the agreements to which
they are allocated in accordance with applicable requirements. Further, the same costs that
have been treated as indirect costs have not been claimed as direct costs. Similar types of
costs have been accounted for consistently and the Federal government will be notified of any
accounting changes that would affect the predetermined rate.

I declare that the foregoing is true and correct.
Governmental Unit:
Signature:
Name of Official (printed):
Title:
Date of Execution:

EPA Form 6600-08A