Information Collection

General Administrative Requirement for Assistance Programs: Fellowships

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

Documents and Forms

Documents and forms in this information collection
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

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: 40 CFR 31

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-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 %

table that charts list of burden
	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

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.