Information Collection

Diesel Emissions Reduction Act (DERA) - State Government

IC 203615 under ICR 202401-2060-006 · OMB 2060-0686.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5600-260 Diesel Emissions Reduction Act (DERA) - State Government	Form and Instruction
Form 5600-260 Rebate Application Diesel Emissions Reduction Act (DERA) - State Government	Form and Instruction
Form 5600-261 Rebate Payment Request Diesel Emissions Reduction Act (DERA) - State Government	Form and Instruction
5600-260 Rebate Application fy18-clean-diesel-rebate-application.pdf www.epa.gov/sites/production/files/2018-10/...	Form and Instruction
5600-260 Rebate Application fy18-clean-diesel-rebate-application.pdf www.epa.gov/sites/production/files/2018-10/...	Form and Instruction
5600-261 Rebate Payment Request Attachment B- Payment Request Form.pdf	Form and Instruction
5600-261 Rebate Payment Request Attachment B- Payment Request Form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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	5600-260			https://www.epa.gov/sites/production/files/2018-10/...	Yes	Yes	Fillable Printable
Form and Instruction	5600-261				Yes	Yes	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-32	32
Annual IC Time Burden (Hours)	-108	108
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.

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