Grant Agreement (FHWA)

Safe Streets and Roads for All Grant Program

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Grant Agreement (FHWA)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.