Standardized Forms All AMS Grant Programs

Pandemic Response and Safety Program (PRS)

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
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
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

Information Collection (IC) Details

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

Is this a Common Form? No		IC Status: Unchanged

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 %

	Requested	Previously Approved
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.