Coronavirus State and Local Fiscal Recovery Funds Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Coronavirus State and Local Fiscal Recovery Funds Non-Entitlement Units of Local Government Second Tranche Transfer Form	Form and Instruction	Modified	Repair queued
Transfers Form - Counties and Metropolitan Cities	Form and Instruction	Modified	Available
Transfers Form - Non-Entitlement Units of Local Government	Form and Instruction	Modified	Available
Local Government Transfer Form	Form and Instruction	Modified	Repair queued
Request for Second Extension	Form	Unchanged	Available
Request for Extension	Form	Unchanged	Available
Request for Extension Form	Form	Unchanged	Repair queued
Tribal Employment Information Form	Form and Instruction	Unchanged	Available
Tribal Employment Information Form	Form and Instruction	Unchanged	Repair queued
Title VI Assurances	Form and Instruction	Unchanged	Available
Title VI Assurances	Form and Instruction	Unchanged	Repair queued
Acceptance of Award Terms without certification	Form and Instruction	Unchanged	Repair queued
Acceptance of Award Terms Form with certification	Form and Instruction	Unchanged	Available
Acceptance of Award Terms	Form and Instruction	Unchanged	Available
Recipient Payment Information Form	Form and Instruction	Unchanged	Available
Recipient Payment Form	Form and Instruction	Unchanged	Repair queued
1505-0271 No Material Change Justification.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-09-12	Repair queued
1505-0271 Non-substantive Change Justification 2022-06-09.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-06-09	Repair queued
SLFRF-Compliance-and-Reporting-Guidance.pdf	Supplementary Document	Uploaded 2022-02-28	Repair queued
1505-0271_Supporting Statement_SLFRP Renewal - Final.docx	Supporting Statement A	Uploaded 2022-02-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
251863	Project and Expenditure Report - Annually	Other-Project & Expenditure Report User Guide	Unchanged
251011	Project and Expenditure Report - Quarterly	Other-Project & Expenditure Report User Guide	Unchanged
250762	NEU and non-UGLG Agreements and Supporting Documents	Other-screenshots	Unchanged
249160	Local Government Transfer Form	Form and Instruction	Modified	Coronavirus State and Local Fiscal Recovery Funds Non-Entitlement Units of Local Government Second Tranche Transfer Form
249160	Local Government Transfer Form	Form and Instruction	Modified	Transfers Form - Counties and Metropolitan Cities
249160	Local Government Transfer Form	Form and Instruction	Modified	Transfers Form - Non-Entitlement Units of Local Government
249160	Local Government Transfer Form	Form and Instruction	Modified
248757	Non-UGLG Distribution Templates	Other-Non-UGLG Distribution Template	Unchanged
248649	Non-entitlement units of government (NEU) Distribution Template	Other-Distribution Template - Eligible NEUs	Unchanged
248648	Annual Recovery Plan Performance Report	Other-template	Unchanged
247871	Request for Extension Form	Form	Unchanged	Request for Second Extension
247871	Request for Extension Form	Form	Unchanged	Request for Extension
247871	Request for Extension Form	Form	Unchanged
247652	Tribal Employment Information Form	Form and Instruction	Unchanged	Tribal Employment Information Form
247652	Tribal Employment Information Form	Form and Instruction	Unchanged
247260	Title VI Assurances	Form and Instruction	Unchanged	Title VI Assurances
247260	Title VI Assurances	Form and Instruction	Unchanged
247045	Acceptance of Award Terms	Form and Instruction	Unchanged	Acceptance of Award Terms without certification
247045	Acceptance of Award Terms	Form and Instruction	Unchanged	Acceptance of Award Terms Form with certification
247045	Acceptance of Award Terms	Form and Instruction	Unchanged
247044	Recipient Payment Form	Form and Instruction	Unchanged	Recipient Payment Information Form
247044	Recipient Payment Form	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1505-0271	ICR Reference No: 202209-1505-001
Status: Historical Active	Previous ICR Reference No: 202206-1505-004
Agency/Subagency: TREAS/DO	Agency Tracking No: N/A
Title: Coronavirus State and Local Fiscal Recovery Funds Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/12/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2025	04/30/2025	04/30/2025
Responses	78,980	0	78,980
Time Burden (Hours)	269,235	0	269,235
Cost Burden (Dollars)	0	0	0

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Abstract: Sections 602 and 603 of the Social Security Act as added by section 9901 of the American Rescue Plan Act of 2021 (the “Act”), Pub. L. No. 117-2 (Mar. 11, 2021) authorizes the Coronavirus State Fiscal Recovery Fund (CSFRF) and Coronavirus Local Fiscal Recovery Fund (CLFRF) respectively (referred to as the “Coronavirus State and Local Fiscal Recovery Funds” or “SLFRF”), which provides $350 billion in total funding to Treasury to make payments generally to States (defined to include the District of Columbia), U.S. Territories (defined to include, Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, and American Samoa), Tribes, Metropolitan cities, Counties, Consolidated Governments, and Nonentitlement units of local government (through States) (collectively the “eligible entities”) to respond to the COVID-19 public health emergency or its negative economic impact, including provide assistance to households, small business, nonprofits, and impacted industries, such as tourism, travel, and hospitality; respond to workers performing essential work during the COVID-19 pandemic by providing premium pay to eligible workers of the State, territory, tribal government, metropolitan city, county, or nonentitlement units of local government performing essential work or by providing grants to eligible employers that have eligible workers; provide government services, to the extent COVID-19 caused a reduction of revenues collected in the most recent full fiscal year of the State, territory, tribal government, metropolitan city, county, or nonentitlement units of local government; or make necessary investments in water, sewer, or broadband infrastructure. Section 602(b) of the Act prescribes that $219.8 billion must be allocated as follows: (1) $4.5 billion reserved for making payments to the U.S. Territories; (2) $20 billion reserved for making payments to Tribal governments; and (3) $195.3 billion reserved for making payments to the 50 States and the District of Columbia. Section 603(b) of the Act prescribes that $130.2 billion must be allocated as follows: (1) $45.57 billion reserved for making payments to Metropolitan cities; (2) $19.53 billion reserved for making payments to States for distribution to Nonentitlement units of local government; and (3) $65.1 billion reserved for making payments to Counties. A unit of general local government that has formed a consolidated government or is geographically (in full or in part) within the boundaries of another unit of general local government may receive a distribution from the funds reserved for making payment to a metropolitan city, nonentitlement unit of local government or county, as applicable based on the respective formula for such allocation to a metropolitan city, nonentitlement unit of local government or county. Section 602(b)(6)(A)(i) provides that Treasury shall make payments to States and U.S. Territories no later than 60 days after receipt of the required certification. Payments to tribal governments are to be distributed no later than 60 days after March 11, 2021 pursuant to section 602(b)(6)(B). Section 603(b)(7)(A) provides that Treasury shall make the first tranche of payments to metropolitan cities, counties, and States for distribution to nonentitlement units of local government no later than 60 days after March 11, 2021.

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Authorizing Statute(s): PL: Pub.L. 117 - 2 9901 Name of Law: American Rescue Plan Act of 2021
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 51727	09/16/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 10896	02/25/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Acceptance of Award Terms	N/A, N/A	Acceptance of Award Terms Form with certification ,   Acceptance of Award Terms without certification
Annual Recovery Plan Performance Report
Local Government Transfer Form	N/A, N/A, N/A	Transfers Form - Non-Entitlement Units of Local Government ,   Transfers Form - Counties and Metropolitan Cities ,   Coronavirus State and Local Fiscal Recovery Funds Non-Entitlement Units of Local Government Second Tranche Transfer Form
NEU and non-UGLG Agreements and Supporting Documents
Non-UGLG Distribution Templates
Non-entitlement units of government (NEU) Distribution Template
Project and Expenditure Report - Annually
Project and Expenditure Report - Quarterly
Recipient Payment Form	n/a	Recipient Payment Information Form
Request for Extension Form	N/A, N/A	Request for Extension ,   Request for Second Extension
Title VI Assurances	n/a	Title VI Assurances
Tribal Employment Information Form	n/a	Tribal Employment Information Form

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ICR Summary of Burden

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	78,980	78,980	0	0	0	0
Annual Time Burden (Hours)	269,235	269,235	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/12/2022

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