Local Government Transfer Form

Coronavirus State and Local Fiscal Recovery Funds Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0271 can be found here:

Documents and Forms

Document Name Document Type
Local Government Transfer Form Form and Instruction
Transfers Form - Non-Entitlement Units of Local Governme 1505-0271 Transfers Form - NEUs.docx Form and Instruction
Transfers Form - Non-Entitlement Units of Local Governme 1505-0271 Transfers Form - NEUs.docx Form and Instruction
Transfers Form - Counties and Metropolitan Cities 1505-0271 Transfers Form - Counties and Metropolitan Cities.docx Form and Instruction
Transfers Form - Counties and Metropolitan Cities 1505-0271 Transfers Form - Counties and Metropolitan Cities.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Local Government Transfer Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	N/A	Transfers Form - Non-Entitlement Units of Local Government	1505-0271 Transfers Form - NEUs.docx		Yes	Yes	Fillable Fileable Signable
Form and Instruction	N/A	Transfers Form - Counties and Metropolitan Cities	1505-0271 Transfers Form - Counties and Metropolitan Cities.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	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	1,500	1,500
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	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.