Information Collection

General Administrative Requirement for Assistance Programs: Fellowships

IC 202038 under ICR 202405-2030-001 · OMB 2030-0020.

Documents and Forms

Document Name Document Type
Form 190-F-04-001 General Administrative Requirement for Assistance Programs: Fellowships Form and Instruction
190-F-04-001 US EPA Payment Request epa_form_190_f_04_001.pdf Form and Instruction
5770-02 Fellowship Application epa_form_5770_2.pdf Form and Instruction
5770-3 Fellowship Facilities and Commitment Statement epa_form_5770_3.pdf Form
5770-5 Agency Fellowship Certification epa_form_5770_5.pdf Form
5770-7 EPA Fellowship Activation Notice epa_form_5770_7.pdf Form
5770-8 Fellowship Agreement epa_form_5770_8.pdf Form
5770-9 Completion of Studies Notice epa_form_5770_9.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Administrative Requirement for Assistance Programs: Fellowships	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: 40 CFR 31

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	190-F-04-001	US EPA Payment Request	epa_form_190_f_04_001.pdf	Yes	Yes	Fillable Printable
Form and Instruction	5770-02	Fellowship Application	epa_form_5770_2.pdf	Yes	Yes	Fillable Printable
Form	5770-3	Fellowship Facilities and Commitment Statement	epa_form_5770_3.pdf	Yes	Yes	Fillable Printable
Form	5770-5	Agency Fellowship Certification	epa_form_5770_5.pdf	Yes	Yes	Fillable Printable
Form	5770-7	EPA Fellowship Activation Notice	epa_form_5770_7.pdf	Yes	Yes	Fillable Printable
Form	5770-8	Fellowship Agreement	epa_form_5770_8.pdf	Yes	Yes	Fillable Printable
Form	5770-9	Completion of Studies Notice	epa_form_5770_9.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: 10	Number of Respondents for Small Entity: 10

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 85 %

	Requested	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	60	60
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.