Information Collection

General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments

IC 23551 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⚠️ Notice: This information collection may be referencing outdated material.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:

2024-05-29 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4700-4 General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction
4700-4 Pre-award Compliance Review for EPA Financial Assistance epa_form_4700_4_fill-sign.pdf	Form and Instruction
4700-4 Pre-award Compliance Review for EPA Financial Assistance epa_form_4700_4_fill-sign.pdf	Form and Instruction
190-F-04-001 EPA Payment Request epa_form_190_f_04_001.pdf	Form and Instruction
190-F-04-001 EPA Payment Request epa_form_190_f_04_001.pdf	Form and Instruction
5700-52A MBE/WBE Utilization Under Federal Grants and Cooperative epa_form_5700_52a.pdf	Form and Instruction
5700-52A MBE/WBE Utilization Under Federal Grants and Cooperative epa_form_5700_52a.pdf	Form and Instruction
5700-53 Lobbying and Litigation Certification for Grants and Coo epa_form_5700_53_fill-sign.pdf	Form and Instruction
5700-53 Lobbying and Litigation Certification for Grants and Coo epa_form_5700_53_fill-sign.pdf	Form and Instruction
5700-54 Key Contacts Form epa_form_5700_54.pdf	Form and Instruction
5700-54 Key Contacts Form epa_form_5700_54.pdf	Form and Instruction
6600-01 Limited Scope Administrative and Financial Review Questi epa_form_6600_01.pdf	Form and Instruction
6600-01 Limited Scope Administrative and Financial Review Questi epa_form_6600_01.pdf	Form and Instruction
6600-06 Certification Regarding Lobbying for Contracts, Grants, epa_form_6600_06_fill-sign.pdf	Form and Instruction
6600-06 Certification Regarding Lobbying for Contracts, Grants, epa_form_6600_06_fill-sign.pdf	Form and Instruction
6600-08A Certificate of Indirect Costs for State and Local Grants epa_form_6600_08A-fillable.pdf	Form and Instruction
6600-08A Certificate of Indirect Costs for State and Local Grants epa_form_6600_08A-fillable.pdf	Form and Instruction
6600-09 Administrative Capability Questionnaire epa_form_6600_09.pdf	Form and Instruction
6600-09 Administrative Capability Questionnaire epa_form_6600_09.pdf	Form and Instruction
NCER Form 5 Current and Pending Support ncer_form_5.pdf	Form and Instruction
NCER Form 5 Current and Pending Support ncer_form_5.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 40 CFR 31 40 CFR 35 2 CFR 200 2 CFR 1500

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	4700-4	Pre-award Compliance Review for EPA Financial Assistance	epa_form_4700_4_fill-sign.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	190-F-04-001	EPA Payment Request	epa_form_190_f_04_001.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5700-52A	MBE/WBE Utilization Under Federal Grants and Cooperative Agreements	epa_form_5700_52a.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5700-53	Lobbying and Litigation Certification for Grants and Cooperative Agreements	epa_form_5700_53_fill-sign.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	5700-54	Key Contacts Form	epa_form_5700_54.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-01	Limited Scope Administrative and Financial Review Questionnaire	epa_form_6600_01.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-06	Certification Regarding Lobbying for Contracts, Grants, and Cooperative Agreements	epa_form_6600_06_fill-sign.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-08A	Certificate of Indirect Costs for State and Local Grants	epa_form_6600_08A-fillable.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	6600-09	Administrative Capability Questionnaire	epa_form_6600_09.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	NCER Form 5	Current and Pending Support	ncer_form_5.pdf	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,127

Number of Respondents for Small Entity: 1,702

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,435	-7,125	17,560
Annual IC Time Burden (Hours)	66,194	7,013	59,181
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.