Information Collection Request

Coronavirus State and Local Fiscal Recovery Funds Program

ICR 202112-1505-002 · OMB 1505-0271 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Transfers Form - Counties and Metropolitan Cities Form and Instruction Modified Available
Transfers Form - Non-Entitlement Units of Local Government Form and Instruction Modified Available
Request for Second Extension Form Unchanged Available
Request for Extension Form Unchanged Available
Tribal Employment Information Form Form and Instruction Unchanged Available
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 Available
Recipient Payment Information Form Form and Instruction Unchanged Available
1505-0271 Emergency Justification Memo-SLFRF NEUs and non-UGLGs 2021-12-10.docx Supplementary Document Uploaded 2021-12-10 Repair queued
1505-0271 Non-substantive Change Justification - LG Transfer Form 2021-09-02.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-09-02 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 Available
1505-0271 Non-substantive Change Justification - Extension Form 2021-07-13.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-07-13 Available
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_add Interim Reports_NEU and non-UGLG 2021-12-10.docx Supporting Statement A Uploaded 2021-12-10 Available
SLFRP _Emergency Justification Memo FINAL_signed.pdf Supplementary Document Uploaded 2021-05-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
250762 NEU and non-UGLG Agreements and Supporting Documents Other-User Guide New
250761 Interim Reporting Other-template New
249160 Local Government Transfer Form Form and Instruction ModifiedTransfers Form - Counties and Metropolitan Cities
249160 Local Government Transfer Form Form and Instruction ModifiedTransfers Form - Non-Entitlement Units of Local Government
248757 Non-UGLG Distribution Templates Other-templates Unchanged
248649 Non-entitlement units of government (NEU) Distribution Template Other-template Unchanged
248648 Annual Recovery Plan Performance Report Other-template Unchanged
247871 Request for Extension Form Form UnchangedRequest for Second Extension
247871 Request for Extension Form Form UnchangedRequest 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
02/28/2022 6 Months From Approved 02/28/2022
49,410 0 17,980
74,095 0 51,735
0 0 0





Reginfo record details
11
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
Interim Reporting
Local Government Transfer Form N/A, N/A ,  
NEU and non-UGLG Agreements and Supporting Documents
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 49,410 17,980 0 31,430 0 0
Annual Time Burden (Hours) 74,095 51,735 0 22,360 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No