Information Collection

Grant Application

IC 252582 under ICR 202211-2137-002 · OMB 2137-0641.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0641 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Emergency BILS GRANT APPLICATION INFORMATION.docx	Other-Description of collection
Emergency BILS GRANT APPLICATION INFORMATION.docx	Other-Description of collection

IC Title:

Grant Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1.96

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Description of collection			Emergency BILS GRANT APPLICATION INFORMATION.docx	grants.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	200	100	100
Annual IC Time Burden (Hours)	32,000	25,500	6,500
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.