Information Collection

Grant Agreement (FHWA)

IC 264063 under ICR 202309-2125-001 · OMB 2125-0675.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OST Grant Agreement (FHWA)	Form and Instruction
OST Self-Certification Eligibility Worksheet, Supplemental P SS4A FY22 Grant Agreement Template (2023-03-09) (1).docx	Form and Instruction
OST Self-Certification Eligibility Worksheet, Supplemental P SS4A FY22 Grant Agreement Template (2023-03-09) (1).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	OST	Self-Certification Eligibility Worksheet, Supplemental Planning and Demonstration Grants and Implementation Grants	SS4A FY22 Grant Agreement Template (2023-03-09) (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	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.