Information Collection

General Administrative Requirement for Assistance Programs: Fellowships

IC 202038 under ICR 202103-2030-001 · OMB 2030-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0020 can be found here:

Documents and Forms

Document Name Document Type
Form 190-F-05-001 General Administrative Requirement for Assistance Programs: Fellowships Form and Instruction
190-F-05-001 Fellowship Stipend Payment Enrollment Form epa_form_190_f_05_001.pdf Form and Instruction
190-F-05-001 Fellowship Stipend Payment Enrollment Form epa_form_190_f_05_001.pdf Form and Instruction
5770-02 Fellowship Application epa_form_5770_2.pdf Form and Instruction
5770-02 Fellowship Application epa_form_5770_2.pdf Form and Instruction
5770-03 Fellowship Facilities and Commitment Statement epa_form_5770_3.pdf Form and Instruction
5770-03 Fellowship Facilities and Commitment Statement epa_form_5770_3.pdf Form and Instruction
5770-05 Agency Fellowship Certification epa_form_5770_5.pdf Form and Instruction
5770-05 Agency Fellowship Certification epa_form_5770_5.pdf Form and Instruction
5770-07 Fellowship Activation Notice epa_form_5770_7.pdf Form and Instruction
5770-07 Fellowship Activation Notice epa_form_5770_7.pdf Form and Instruction
5770-08 Fellowship Agreement epa_form_5770_8.pdf Form and Instruction
5770-08 Fellowship Agreement epa_form_5770_8.pdf Form and Instruction
5770-09 Completion of Studies Notice epa_form_5770_9.pdf Form and Instruction
5770-09 Completion of Studies Notice epa_form_5770_9.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Administrative Requirement for Assistance Programs: Fellowships	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	190-F-05-001	Fellowship Stipend Payment Enrollment Form	epa_form_190_f_05_001.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-02	Fellowship Application	epa_form_5770_2.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-03	Fellowship Facilities and Commitment Statement	epa_form_5770_3.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-05	Agency Fellowship Certification	epa_form_5770_5.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-07	Fellowship Activation Notice	epa_form_5770_7.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-08	Fellowship Agreement	epa_form_5770_8.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5770-09	Completion of Studies Notice	epa_form_5770_9.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 10

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-3,790	3,840
Annual IC Time Burden (Hours)	60	-5,520	5,580
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.