Information Collection

Standardized forms all AMS Grant Programs

IC 247048 under ICR 202112-0581-003 · OMB 0581-0324.

Documents and Forms

Document Name Document Type
Standardized forms all AMS Grant Programs Form and Instruction
Request for application(RFA Request for Applications ISIRP Example_4-26-2021.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 General Terms and Conditions AMS General Terms and Conditions Example_September 2020.pdf Form and Instruction
Amendment Request Amendment Request Example_10-18-19.pdf Form
Interim Performance Report Template Interim Performance Report Template_April 2021.docx Form and Instruction
Final Performance Report Template MPIRG_FinalPerformanceReportTemplate.docx Form and Instruction
SF 424 Application for Federal Assistance _12-31-2021.pdf Application for Federal Assistance IC Document
SF 270 Request for Advance or Reimbursement _2-28-2022.pdf Request for Advance or Reimbursement IC Document
SF 425 Federal Financial Report_2-26-2022.pdf Federal Financial Report IC Document
SF 428 C Tangible Personal Property Report Disposition Request Report _6-30-2020.pdf Tangible Personal Property Report IC Document
SF-428 B Tangible Personal Property Final Report _6-30-2020.pdf Tangible Personal Property Report Final IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Standardized forms all AMS Grant Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Request for application(RFA	Request for Applications ISIRP Example_4-26-2021.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
Form and Instruction	None	AMS General Terms and Conditions	AMS General Terms and Conditions Example_September 2020.pdf	Yes	Yes	Fillable Fileable
Form	None	Amendment Request	Amendment Request Example_10-18-19.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	None	Interim Performance Report Template	Interim Performance Report Template_April 2021.docx	Yes	No	Fillable Printable
Form and Instruction	None	Final Performance Report Template	MPIRG_FinalPerformanceReportTemplate.docx	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,232	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,540	-1,111	2,651
Annual IC Time Burden (Hours)	4,522	-2,001	6,523
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Application for Federal Assistance	SF 424 Application for Federal Assistance _12-31-2021.pdf	04/28/2021
Request for Advance or Reimbursement	SF 270 Request for Advance or Reimbursement _2-28-2022.pdf	04/28/2021
Federal Financial Report	SF 425 Federal Financial Report_2-26-2022.pdf	04/28/2021
Tangible Personal Property Report	SF 428 C Tangible Personal Property Report Disposition Request Report _6-30-2020.pdf	04/28/2021
Tangible Personal Property Report Final	SF-428 B Tangible Personal Property Final Report _6-30-2020.pdf	04/28/2021

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