Information Collection

State, Local, Tribal Government Reporting

IC 23993 under ICR 202206-2050-002 · OMB 2050-0192.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2050-0192 can be found here:

2026-01-16 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6200-04 State, Local, Tribal Government Reporting	Form
Job Training Reporting Instructions_ 5-24.pdf	Instruction
Job Training Reporting Instructions_ 5-24.pdf	Instruction
Program Activity Level (PAL) Instructions_5-23.pdf	Instruction
Program Activity Level (PAL) Instructions_5-23.pdf	Instruction
Property Profile Form Instructions_5-25.pdf	Instruction
Property Profile Form Instructions_5-25.pdf	Instruction
RLF Program Income Form 5-25.pdf	Other-Questionnaire
RLF Program Income Form 5-25.pdf	Other-Questionnaire
RLF Program Income Form Instructions_5-25.pdf	Instruction
RLF Program Income Form Instructions_5-25.pdf	Instruction
TAB_5-25.pdf	Other-Questionnaire
TAB_5-25.pdf	Other-Questionnaire
TAB Instructions_ 5-25.pdf	Instruction
TAB Instructions_ 5-25.pdf	Instruction
Technical Assistance_5-25.pdf	Other-Questionnaire
Technical Assistance_5-25.pdf	Other-Questionnaire
Technical Assistance Form Instructions_ 5-25.pdf	Instruction
Technical Assistance Form Instructions_ 5-25.pdf	Instruction
6200-04 Job Training Reporting Form Job Training Reporting Form_ 5-24.pdf	Form
6200-04 Job Training Reporting Form Job Training Reporting Form_ 5-24.pdf	Form
6200-18 Brownfields Program Activity (PAL) Reporting Form Program Activity Level (PAL) report_ 5-23.pdf	Form
6200-18 Brownfields Program Activity (PAL) Reporting Form Program Activity Level (PAL) report_ 5-23.pdf	Form
6200-03 Brownfields Property Profile Form Property Profile Form_5-25.pdf	Form
6200-03 Brownfields Property Profile Form Property Profile Form_5-25.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State, Local, Tribal Government Reporting

Agency IC Tracking Number:

2104.09

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 200.328 2 CFR 200.333 2 CFR 200.335

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6200-04	Job Training Reporting Form	Job Training Reporting Form_ 5-24.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			Job Training Reporting Instructions_ 5-24.pdf	Yes	No	Printable Only
Form	6200-18	Brownfields Program Activity (PAL) Reporting Form	Program Activity Level (PAL) report_ 5-23.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			Program Activity Level (PAL) Instructions_5-23.pdf	Yes	No	Printable Only
Form	6200-03	Brownfields Property Profile Form	Property Profile Form_5-25.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			Property Profile Form Instructions_5-25.pdf	Yes	No	Printable Only
Other-Questionnaire			RLF Program Income Form 5-25.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			RLF Program Income Form Instructions_5-25.pdf	Yes	No	Printable Only
Other-Questionnaire			TAB_5-25.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			TAB Instructions_ 5-25.pdf	Yes	No	Printable Only
Other-Questionnaire			Technical Assistance_5-25.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			Technical Assistance Form Instructions_ 5-25.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,558

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,562	1,911	4,651
Annual IC Time Burden (Hours)	3,808	-1,371	5,179
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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