Information Collection Request

Coronavirus State and Local Fiscal Recovery Funds Program

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

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Local Government Transfer Form Form and Instruction Modified Available
Request for Extension Form Form Unchanged Available
Tribal Employment Information Form Form and Instruction Unchanged Available
Title VI Assurances Form and Instruction Unchanged Repair queued
Acceptance of Award Terms Form and Instruction Unchanged Available
Recipient Payment 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 Modified
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 Unchanged
247652 Tribal Employment Information Form Form and Instruction Unchanged
247260 Title VI Assurances Form and Instruction Unchanged
247045 Acceptance of Award Terms Form and Instruction Unchanged
247044 Recipient Payment Form Form and Instruction Unchanged

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





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