Information Collection

General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments

IC 23551 under ICR 202405-2030-001 · OMB 2030-0020.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 190-F-04-001
General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form and Instruction
Form 190-F-04-001
US EPA Payment Request General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form and Instruction
Form 4700-4
Pre-award Compliance Review Report for All Applicants General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form and Instruction
Form 5700-52A
MBE/WBE Utilization Under Federal Grants and Cooperative Agreements General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form and Instruction
Form 5700-53
Lobbying and Litigation Certificate General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form and Instruction
Form 5700-54
Key Contacts Form General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form and Instruction
Form 6600-01
Limited Scope Administrative and Financial Review Q General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form
Form 6600-06
Certification Regarding Lobbying General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form
Form 6600-08A
Certificate of Indirect Costs for State and Local Grants General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form
Form NCER Form 5
EPA ORD Current and Pending Support Report General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Form
190-F-04-001 US EPA Payment Request
epa_form_190_f_04_001.pdf
Form and Instruction
190-F-04-001 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
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
5700-52A 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
5700-53 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
5700-54 Key Contacts Form
epa_form_5700_54.pdf
Form and Instruction
6600-01 Limited Scope Administrative and Financial Review Q
epa_form_6600_01.docx
Form
6600-01 Limited Scope Administrative and Financial Review Q
epa_form_6600_01.docx
Form
6600-06 Certification Regarding Lobbying
epa_form_6600_06_fill-sign.pdf
Form
6600-06 Certification Regarding Lobbying
epa_form_6600_06_fill-sign.pdf
Form
6600-08A Certificate of Indirect Costs for State and Local Grants
epa_form_6600_08A-fillable.pdf
Form
6600-08A Certificate of Indirect Costs for State and Local Grants
epa_form_6600_08A-fillable.pdf
Form
NCER Form 5 EPA ORD Current and Pending Support Report
ncer_form_5.pdf
Form
NCER Form 5 EPA ORD Current and Pending Support Report
ncer_form_5.pdf
Form

Information Collection (IC) Details

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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 190-F-04-001 Yes Yes Fillable Printable
Form and Instruction 4700-4 Yes No Fillable Printable
Form and Instruction 5700-52A Yes Yes Fillable Printable
Form and Instruction 5700-53 Yes No Fillable Printable
Form and Instruction 5700-54 Yes Yes Fillable Printable
Form 6600-01 Yes Yes Fillable Printable
Form 6600-06 Yes Yes Fillable Printable
Form 6600-08A Yes Yes Fillable Printable
Form NCER Form 5 Yes Yes Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 35,007 0 0 24,572 0 10,435
Annual IC Time Burden (Hours) 211,352 0 0 145,158 0 66,194
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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