Acceptance of Award Terms

Coronavirus State and Local Fiscal Recovery Funds Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0271 can be found here:

Documents and Forms

Document Name Document Type
Acceptance of Award Terms Form and Instruction
Acceptance of Award Terms Form and Instruction
Acceptance of Award Terms Form with certification SLFRP Acceptance of Award Terms Form with certification for States-Territories-DC (Final 5-7-2021).docx Form and Instruction
Acceptance of Award Terms Form with certification SLFRP Acceptance of Award Terms Form with certification for States-Territories-DC (Final 5-7-2021).docx Form and Instruction
Acceptance of Award Terms without certification SLFRP Acceptance of Award Terms Form without certification_Final 5-7-21.docx Form and Instruction
Acceptance of Award Terms without certification SLFRP Acceptance of Award Terms Form without certification_Final 5-7-21.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Acceptance of Award Terms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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	N/A	Acceptance of Award Terms Form with certification	SLFRP Acceptance of Award Terms Form with certification for States-Territories-DC (Final 5-7-2021).docx		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Acceptance of Award Terms without certification	SLFRP Acceptance of Award Terms Form without certification_Final 5-7-21.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,050	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,050	5,050
Annual IC Time Burden (Hours)	1,263	1,263
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.