Information Collection

General Administrative Requirements for Assistance Programs: Non-Profits

IC 188505 under ICR 202405-2030-001 · OMB 2030-0020.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 190-F04-001 General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction
190-F04-001 US EPA Payment Request epa_form_190_f_04_001.pdf	Form and Instruction
4700-4 Pre-award Compliance Review Report for All Applicants epa_form_4700_4_fill-sign.pdf	Form and Instruction
5700-52A MBE/WBE Utilization Under Federal Grants and Cooperative epa_form_5700_52a.pdf	Form and Instruction
5700-53 Lobbying and Litigation Certificate epa_form_5700_53_fill-sign.pdf	Form and Instruction
5700-54 Key Contacts Form epa_form_5700_54.pdf	Form and Instruction
6600-01 Limited Scope Administrative and Financial Review Questi epa_form_6600_01.docx	Form
6600-06 Certification Regarding Lobbying epa_form_6600_06_fill-sign.pdf	Form
6600-08B Lobbying Indirect Cost Certificate for Non-Profit Organi epa_form_6600_08B-fillable.pdf	Form
NCER Form 5 EPA ORD Current and Pending Support Report ncer_form_5.pdf	Form

IC Title:

Agency IC Tracking Number:

0938.23

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 200 2 CFR 1500 40 CFR 30 40 CFR 33

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
Form and Instruction	190-F04-001	US EPA Payment Request	epa_form_190_f_04_001.pdf	Yes	Yes	Fillable Printable
Form and Instruction	4700-4	Pre-award Compliance Review Report for All Applicants	epa_form_4700_4_fill-sign.pdf	Yes	No	Fillable Printable
Form and Instruction	5700-52A	MBE/WBE Utilization Under Federal Grants and Cooperative Agreements	epa_form_5700_52a.pdf	Yes	Yes	Fillable Printable
Form and Instruction	5700-53	Lobbying and Litigation Certificate	epa_form_5700_53_fill-sign.pdf	Yes	No	Fillable Printable
Form and Instruction	5700-54	Key Contacts Form	epa_form_5700_54.pdf	Yes	Yes	Fillable Printable
Form	6600-01	Limited Scope Administrative and Financial Review Questions	epa_form_6600_01.docx	Yes	Yes	Fillable Printable
Form	6600-06	Certification Regarding Lobbying	epa_form_6600_06_fill-sign.pdf	Yes	Yes	Fillable Printable
Form	6600-08B	Lobbying Indirect Cost Certificate for Non-Profit Organizations	epa_form_6600_08B-fillable.pdf	Yes	Yes	Fillable Printable
Form	NCER Form 5	EPA ORD Current and Pending Support Report	ncer_form_5.pdf	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: 2,943

Number of Respondents for Small Entity: 2,649

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15,003	10,531	4,472
Annual IC Time Burden (Hours)	90,618	62,266	28,352
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.