State, Local, Tribal Government Reporting

EPA Form: 560F22290
OMB Control No.: 2050-0192
Expiration Date: XX-XX-XXXX

INSTRUCTIONS FOR COMPLETING THE TECHNICAL ASSISTANCE TO
BROWNFIELDS PROFILE FORM
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB
Control No. 2050-0192). Responses to this collection of information are mandatory (2 CFR 200.328, 2 CFR 200.333, 2 CFR
200.335, 40 CFR 30-31). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this
collection of information is estimated to be 1.33 hours per response. Send comments on the Agency’s need for this
information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to
the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW,
Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this
address.

Overview:
As directed by OBLR reporting policy, contractors under the Land Revitalization, Site
Visioning/ Market Analysis, and Funding and Financing Technical Assistance task orders
(EP-W-12-020, 021, and 022) must report their project-specific activities to EPA at least
quarterly. This should be done by filling out the electronic version of the Technical
Assistance Profile Form in the Assessment, Cleanup, and Redevelopment Exchange System
(ACRES) database. Please note that in most instances, all reported information is accessible to
the public under the Freedom of Information Act (FOIA) and may be distributed by EPA to the
public unless one of the FOIA exclusions is applicable.
All technical assistance contractors must develop and regularly maintain a Brownfields
Technical Assistance Profile Form in the ACRES database for each project benefiting from EPA
Brownfields technical assistance.
The Technical Assistance Profile Form is divided into two parts. Reporting in each section is
mandatory for all cooperative agreement recipients, unless otherwise indicated. Additional
instructions and definitions for completing this form are provided below. Please contact your
EPA TOCOR if you have any questions when completing this form.

EPA Form: 560F22290
OMB Control No.: 2050-0192
Expiration Date: XX-XX-XXXX

When to Submit:
Original Technical Assistance Form: A Technical Assistance Profile Form must be
submitted when the contractor starts using EPA funds for an eligible project. For
Technical Assistance projects, this typically means when the contractor has engaged the
community for a kickoff meeting and begun drafting a scope of work document.
Updated Technical Assistance Profile Forms: Technical Assistance Profile Forms must be
updated as activities (e.g., site visioning or market analysis) and community engagement
(e.g., site visit or webinar) occur. For example, a Technical Assistance Profile Form
should be updated upon completion of a Site Reuse Design or a webinar with the
community demonstrating a developed financial tool. In addition, a Technical Assistance
Profile Form should be updated as the project background information changes or if there
are other anecdotal information and successes that the cooperative agreement recipient
wants to share with EPA. Technical Assistance contractors should also revise and submit
updated Technical Assistance Profile Forms for all targeted projects when the TA work is
being closed out.
How to Submit:
ACRES is available online. It is the only method for all technical assistance contractors to
enter and electronically submit their Technical Assistance Profile Forms.
To Whom to Submit:
Technical Assistance contractors must submit Technical Assistance Profile Forms to their EPA
regional point of contact and to the EPA Headquarters point of contact. If data is entered online via
ACRES, it will automatically be delivered to the EPA regional and Headquarters POCs.

EPA Form: 560F22290
OMB Control No.: 2050-0192
Expiration Date: XX-XX-XXXX

DETAILED INSTRUCTIONS FOR COMPLETING EACH ITEM ON THE
TECHNICAL ASSISTANCE PROFILE FORM
Reporting Dates: Use the following format when asked to enter a date: mm/dd/yyyy.
TECHNICAL ASSISTANCE TYPE INFORMATION
(mandatory for all TAs)
1. Technical Assistance Contractor Name. Enter the technical assistance contractor name. Use
the official name of the primary contractor as written in the task order proposal
documentation.
2. Lead Subcontractor Name. Enter the lead technical assistance subcontractor name.
User the official name of the subcontractor as written in the task order proposal
documentation.
3. Is this funding from the Bipartisan Infrastructure Law (BIL) allocation? Indicate
whether BIL Funding is being used by the contractor for this project by selecting Yes or No
from the drop-down box.
4. What type of Brownfields Technical Assistance funding is being offered to this
community? Indicate the type of EPA Brownfields Technical Assistance to which all
activities reported on this Technical Assistance Profile Form apply.
EPA POINT OF CONTACT (POC) INFORMATION
(mandatory for all TAs)
5a. EPA Headquarters POC Name. Enter the name of the EPA Headquarters POC for this
project. This will be the primary TOCOR (Task Order Contracting Officer's Representative)
unless otherwise indicated.
5b. EPA Headquarters POC Email. Enter the corresponding email address for the EPA
Headquarters POC.
6a. EPA Regional POC Name. Enter the name of the EPA Regional POC for this project. This name
will be indicated on the TA request form.
6b. EPA Regional POC Email. Enter the corresponding email address for the EPA Regional POC.

EPA Form: 560F22290
OMB Control No.: 2050-0192
Expiration Date: XX-XX-XXXX

TECHNICAL ASSISTANCE RECIPIENT INFORMATION
(mandatory for all TAs)
Technical Assistance (TA) Recipient Information. Provide information about the entity receiving this
technical assistance. Much of this information is historical (e.g., name, entity type, project start date) and
should be provided on the original Technical Assistance Profile Form. Updates are only necessary
when circumstances change.
7. TA Recipient Name. Enter the name of the Technical Assistance recipient. This
should be the primary entity working with contractors.
8. Project Name. Enter the name of the project. This name can be determined by the
contractors.
9. TA Recipient Type. Enter the type of entity receiving technical assistance using the
drop-downlist below. Enter the recipient type under "other" if no other options apply.

•

State. Any office under the state government.

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Tribe. Any tribal group.

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Regional Council. A government body made up of several cities or counties.

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Local Government. Including any city or county offices.

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Academic/University. Any registered college, school, or university

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Redevelopment Authority. A public administrative unit responsible for
redevelopment.

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Non-Profit. Any registered non-profit.

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Other

10a. Project Start Date. Enter the date the contractors received the TA request form or were
otherwise authorized to begin work on this project.
10b. Project End Date. Enter the date the contractors finalized all deliverables and
project fact sheets proposed in this project’s Scope of Work.

PROJECT LOCATION INFORMATION
(mandatory for all TAs)
Project Location Information. Provide information about the geographic locations of the
brownfield sites where this technical assistance is taking place.
11a. Street Address. Enter the street address of the primary brownfield site addressed
under this technical assistance (if applicable).
11b. City. Enter the city where this technical assistance will be performed.

EPA Form: 560F22290
OMB Control No.: 2050-0192
Expiration Date: XX-XX-XXXX

11c. County. Enter the county where this technical assistance will be performed.
11d. State. Enter the state where this technical assistance will be performed.
11e. ZIP Code. Enter the ZIP code where this technical assistance will be performed.
12. Size (in acres). Enter the approximate size of the brownfield sites addressed
under this technical assistance.
13. Census Tract(s). A census tract is a geographic subdivision of a county. To find the
associated number(s):

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Navigate to the Climate and Economic Justice Screening Tool

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Find your site on the map and click on it to highlight the county subdivision.

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The associated Census Tract Number is listed to the right of the map.

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Highlight the numbers and right-click to copy them to your clipboard.

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Then right-click in the corresponding ACRES field and paste the numbers.

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You can add as many Census Tract Numbers in ACRES as needed.

PROJECT BUDGET INFORMATION
(mandatory for all TAs)
Project Budget. The contractor will provide details on the approved budget, any budget
increases, or expenditures at a minimum on a quarterly basis. Each entry will have a
corresponding date. The Technical Assistance profile page will then calculate the remaining
budget available.
14. Approved Budget. This number should be determined by the region, EPA headquarters,
and the contractor. Any changes to the budget should be shown as additions. (e.g., an initial
approved budget of $50,000, updated to $57,000 will be shown as two entries. The first
entry in Approved Budget will be $50,000 and the second will be a budget increase for
$7,000 with the corresponding date of approval.)

15a. Cost Incurred. Enter the cost incurred for this Technical Assistance project.
This cost includes all contractor costs related to this Technical Assistance project,
including lagging cost. It should be entered at a minimum on a quarterly basis with a
date range for the time period covered.
15b. Cost Incurred Start Date. Enter the start date for the cost incurred for this
Technical Assistance project.
15c. Cost Incurred End Date. Enter the end date for the cost incurred for this Technical
Assistance project.

EPA Form: 560F22290
OMB Control No.: 2050-0192
Expiration Date: XX-XX-XXXX

16. Balance Remaining. This number will be automatically calculated through the ACRES
web platform using the information entered in 14 and 15.

LAND REVITALIZATION PROJECT BACKGROUND INFORMATION
(mandatory for Land Revitalization TAs)
Project Background Information. Here, the contractor will provide background information
on the community receiving the technical assistance.
17. Has the community received brownfields funding in the past 9 years? Answer Yes or
No for this section. This includes any of the following funding sources: Brownfields
Technical Assistance, State 128a funding, TBA funding, or Brownfields grant funding. (For
LR TA only)
18. Challenge(s) of the Community. Use this open text box to describe why this community
needs technical assistance. This information can be drawn from the TA request form and
supplemented with additional information from working with the community.
19. Anticipated Deliverables. Use this open text box to list out deliverables proposed in
the scope of work.

TECHNICAL ASSISTANCE ACTIVITIES
(mandatory for Land Revitalization TAs (20a), Site Visioning TAs (20b), Funding and
Financing TAs (20c))
Technical Assistance Provided. In this section, the contractor will provide more details about
the activities performed under this technical assistance and how the contractor engaged with
the community.
20a-c. Activities Performed. Use this section to select the activities performed by the
contractor during this technical assistance project. Include a start and end date for each
activity. If an activity performed is not available on the drop-down list, enter the activity
under Other.
ADDITIONAL TECHNICAL ASSISTANCE PROVIDED
(mandatory for all TAs)
21. How does this project address changing climate conditions? Identify all that apply. If
there are none, select: ‘N/A: This project does not address changing climate conditions.’
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Climate Risk Identification. The project identifies potential climate risk factors and
vulnerabilities within a community or at a specific site. Possible methods may include
evaluation and possible updates to floodplain, coastal and wetland, and/or hazard mitigation
plans. Risks identification should be incorporated in reuse options that are climate conscious.

EPA Form: 560F22290
OMB Control No.: 2050-0192
Expiration Date: XX-XX-XXXX

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Green Infrastructure and/or Green Building Techniques. Planning and reuse options
promote use of green infrastructure and/or green building techniques during site assessment,
cleanup and/ or redevelopment. This may include plans to reduce energy use and emissions;
reduce water use and impacts to water sources; or reduce waste and manage materials
sustainably. Examples include green roofs, downspout disconnection, urban tree canopies,
rainwater harvesting, rain gardens, planter boxes, green parking (permeable pavement), urban
agriculture, community open space, use of renewable or efficient energy sources, and use of
sustainable or recycled building materials.

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Sustainable Land Management Practices. Practices focus on opportunities to preserve
natural land features, maintain open space, sequester carbon, enhance biodiversity, increase
wildlife habitat, and minimize surface and subsurface disturbance. Site and/or community
plans may include minimizing unnecessary soil and habitat disturbance or destruction; use of
native species to support habitat; and onsite remediation approaches such as bioremediation
and/or phytoremediation. Depending on the site or community’s geographic location,
specific practices can be incorporated to reduce urban heat island impacts and mitigate
drought and/or wildfire risks.

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Use of Renewable Energy. The site or community plans to develop renewable energy
sources. This may include solar, wind, geothermal and combined heat and power (CHP).

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Incorporate and encourage multi-modal transit opportunities in redevelopment
activities. Planning, designing and building streets that enable access for all users, including
pedestrians, bicyclists, motorists and transit riders. Brownfield redevelopment projects can
incorporate sidewalks in their plans to allow for pedestrian traffic, outdoor public spaces to
encourage community gatherings, and bicycle parking, bike share rentals, and bike trails to
encourage biking throughout the community.

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Other. Enter additional changing climate conditions.

22. Contractor Engagement with Community Benefiting from Technical Assistance. Use
this table to document each significant instance of contractor engagement with the community.
Include dates when possible. Key instances include:
• Kickoff Meeting
• Scope of Work Finalized
• Site Visit
• Webinar
• Deliverable Provided
• Fact Sheet Provided
23. Final Project Deliverables Submitted. Use this open text box to list out all final
project deliverables provided to the community.
24. Summary of Technical Assistance and Planned Next Steps. Use this text box to provide
a more detailed description of the technical assistance provided. This can include any project
successor challenges, any community specific details, how the community plans to utilize the
deliverables and any other relevant details.

EPA Form: 560F22290
OMB Control No.: 2050-0192
Expiration Date: XX-XX-XXXX

25. Updates since Completion of Technical Assistance. This field should be filled out every
six to twelve months after TA completion through check-ins with the form’s TA recipients. Key
information includes funding leveraged and progress in redevelopment.
RELATED BROWNFIELD PROJECTS
(mandatory for all TAs)
Related Brownfields Funding. This section will be used to link TA projects to any existing
brownfields project funding.
26. List any existing Brownfields Multi-purpose, Assessment, Cleanup or 128a funding
tied to this project: Enter the 8-digit Cooperative Agreement number(s) associated to the
funding. The contractor should be able to find the Cooperative Agreement number(s) on the
TA request form or through discussion with the regional / Headquarters POCs.
27a. Has this project received any TBA funding? Answer Yes or No for this question.
27b. If yes, please select the state that funded this TBA: This will have a drop-down list of states.
28. Select any existing brownfields properties tied to this Technical Assistance Project: The
contractor will have access to a dropdown list of properties based on the answers to 27a and 27b.