Information Collection

Application

IC 258011 under ICR 202303-1028-001 · OMB 1028-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0133 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_summary.pdf	Instruction
Attachment A_summary.pdf	Instruction
Attachment C_DMP.pdf	Instruction
Attachment C_DMP.pdf	Instruction
FINAL NOFO G23AS00160.pdf	Instruction
FINAL NOFO G23AS00160.pdf	Instruction
Budget Sheets AttachmentB_budget_sheets.pdf	Form
Budget Sheets AttachmentB_budget_sheets.pdf	Form
Award Terms and Conditions AttachmentD_CO Draft T&C.pdf	Form
Award Terms and Conditions AttachmentD_CO Draft T&C.pdf	Form
SF424 Application for Federal Assistance SF-424 SF424_4_0-V4.0.pdf	Form
SF424 Application for Federal Assistance SF-424 SF424_4_0-V4.0.pdf	Form
SF 424A BUDGET INFORMATION - Non-Construction Programs SF424A-V1.0.pdf	Form
SF 424A BUDGET INFORMATION - Non-Construction Programs SF424A-V1.0.pdf	Form
SF424B ASSURANCES - NON-CONSTRUCTION PROGRAMS SF424B-V1.1.pdf	Form
SF424B ASSURANCES - NON-CONSTRUCTION PROGRAMS SF424B-V1.1.pdf	Form

IC Title:

Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Instruction			Attachment A_summary.pdf	Yes	Yes	Fillable Printable
Instruction			Attachment C_DMP.pdf	Yes	Yes	Fillable Printable
Form	n/a	Budget Sheets	AttachmentB_budget_sheets.pdf	Yes	Yes	Fillable Printable
Form	n/a	Award Terms and Conditions	AttachmentD_CO Draft T&C.pdf	Yes	Yes	Fillable Printable
Instruction			FINAL NOFO G23AS00160.pdf	Yes	Yes	Fillable Printable
Form	SF424	Application for Federal Assistance SF-424	SF424_4_0-V4.0.pdf	Yes	Yes	Fillable Fileable Signable
Form	SF 424A	BUDGET INFORMATION - Non-Construction Programs	SF424A-V1.0.pdf	Yes	Yes	Fillable Fileable Signable
Form	SF424B	ASSURANCES - NON-CONSTRUCTION PROGRAMS	SF424B-V1.1.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	-5	25
Annual IC Time Burden (Hours)	1,200	-300	1,500
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.