Standardized Forms All AMS Grant Programs

Pandemic Response and Safety Program (PRS

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0326 can be found here:

Documents and Forms

Document Name Document Type
Standardized Forms All AMS Grant Programs Form and Instruction
Request For Application Request for Applications_PRS.docx Form and Instruction
Request For Application Request for Applications_PRS.docx Form and Instruction
AMS-33 Notice of Award and Grant Agreement Notice of Award and Grant Agreement AMS 33 Example_10-18-19.pdf Form and Instruction
AMS-33 Notice of Award and Grant Agreement Notice of Award and Grant Agreement AMS 33 Example_10-18-19.pdf Form and Instruction
Application for Federal Assistance SF 424_12-31-2021.pdf Application for Federal Assistance SF424 IC Document
Application for Federal Assistance SF 424_12-31-2021.pdf Application for Federal Assistance SF424 IC Document
SF 270 Request for Advance or Reimbursement _2-28-2022.pdf Request for Advance or Reimbursement SF 270 IC Document
SF 270 Request for Advance or Reimbursement _2-28-2022.pdf Request for Advance or Reimbursement SF 270 IC Document
Federal Financial Report SF 425_2-26-2022.pdf Federal Financial Report SF 425 IC Document
Federal Financial Report SF 425_2-26-2022.pdf Federal Financial Report SF 425 IC Document

Information Collection (IC) Details

IC Title:	Standardized Forms All AMS Grant Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Request For Application	Request for Applications_PRS.docx		Yes	No	Printable Only
Form and Instruction	AMS-33	Notice of Award and Grant Agreement	Notice of Award and Grant Agreement AMS 33 Example_10-18-19.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600,000	600,000
Annual IC Time Burden (Hours)	516,660	516,660
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Application for Federal Assistance SF424	Application for Federal Assistance SF 424_12-31-2021.pdf	07/14/2021
Request for Advance or Reimbursement SF 270	SF 270 Request for Advance or Reimbursement _2-28-2022.pdf	07/14/2021
Federal Financial Report SF 425	Federal Financial Report SF 425_2-26-2022.pdf	07/14/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.