Information Collection Request

Coronavirus State and Local Fiscal Recovery Funds Program

ICR 202108-1505-001 · OMB 1505-0271 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Request for Second Extension Form Modified Available
Request for Extension Form Modified Available
Tribal Employment Information Form Form and Instruction Unchanged Repair queued
Title VI Assurances Form and Instruction Unchanged Available
Acceptance of Award Terms without certification Form and Instruction Unchanged Available
Acceptance of Award Terms Form with certification Form and Instruction Unchanged Repair queued
Recipient Payment Information Form Form and Instruction Unchanged Available
Emergency Justification Memo - SLFRF Plan Report and Template_signed.pdf Supplementary Document Uploaded 2021-08-06 Available
1. Emergency Justification Memo - SLFRF Perf Report and NEU template.docx Supplementary Document Uploaded 2021-08-02 Repair queued
1505-0271 Non-substantive Change Justification - Extension Form 2021-07-13.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-07-13 Repair queued
1505-0271 Non-substantive Change Justification - Extension Form 2021-06-11.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-06-11 Available
Emergency Justification Memo_SLT Form_FINAL_signed.pdf Supplementary Document Uploaded 2021-05-27 Available
1505-0271_SLFRP SS_Treasury Portal User Guide v1.docx Supporting Statement A Uploaded 2021-08-06 Available
SLFRP _Emergency Justification Memo FINAL_signed.pdf Supplementary Document Uploaded 2021-05-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
248757 Non-UGLG Distribution Templates Other-templates New
248649 Non-entitlement units of government (NEU) Distribution Template Other-template New
248648 Annual Recovery Plan Performance Report Other-template New
247871 Request for Extension Form Form ModifiedRequest for Second Extension
247871 Request for Extension Form Form ModifiedRequest for Extension
247652 Tribal Employment Information Form Form and Instruction UnchangedTribal Employment Information Form
247260 Title VI Assurances Form and Instruction UnchangedTitle VI Assurances
247045 Acceptance of Award Terms Form and Instruction UnchangedAcceptance of Award Terms without certification
247045 Acceptance of Award Terms Form and Instruction UnchangedAcceptance of Award Terms Form with certification
247044 Recipient Payment Form Form and Instruction UnchangedRecipient Payment Information Form

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2021 6 Months From Approved 11/30/2021
16,480 0 15,830
50,235 0 5,585
0 0 0





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
Acceptance of Award Terms N/A, N/A ,  
Annual Recovery Plan Performance Report
Non-UGLG Distribution Templates
Non-entitlement units of government (NEU) Distribution Template
Recipient Payment Form n/a
Request for Extension Form N/A, N/A ,  
Title VI Assurances n/a
Tribal Employment Information Form n/a

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 16,480 15,830 0 650 0 0
Annual Time Burden (Hours) 50,235 5,585 0 44,650 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No