Transportation and Climate Division (TCD) Grant Program Reporting Templates: Supplemental Project Application Template and Project Reporting Templates for DERA, CSB, CHD, and CP (New)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form PFN5900-719 Y_Clean Ports Technology Deployment Evidence Statement	Form and Instruction	Modified	Repair queued
Form PFN5900-718 X_Clean Ports Scrappage Eligibility Statement	Form and Instruction	Modified	Repair queued
Form PFN5900-722 W_Funding Program Recipient Story Form	Form and Instruction	Modified	Repair queued
Form PFN5900-721 V_Clean Ports Zero Emissions Technology Project Report	Form and Instruction	Modified	Repair queued
Form PFN5900-720 U_Clean Ports Climate and Air Quality Planning Project	Form and Instruction	Modified	Repair queued
Form 5900-693 T_CSB Utility Partnership Agreement	Form and Instruction	Modified	Repair queued
Form 5900-692 S_Clean School Bus Program Project Reporting Template	Form and Instruction	Modified	Repair queued
Form 5900-691 R_DERA Project Reporting Template	Form and Instruction	Modified	Repair queued
Form 5900-689 Q_CHDV Supplemental Application Template	Form and Instruction	Modified	Repair queued
Form 5900-688 P_DERA Scrappage Statement	Form and Instruction	Modified	Repair queued
Form 5900-687 O_DERA Eligibility Statement	Form and Instruction	Modified	Repair queued
Form 5900-686 N_CSB Eligibility and Scrap Sell Donate Statement	Form and Instruction	Modified	Repair queued
Form 5900-685 M_Utility Partnership Agreement	Form and Instruction	Modified	Repair queued
Form 5900-684 L_Clean Ports Scrappage Evidence Statement	Form and Instruction	Modified	Repair queued
Form 5900-683 K_Clean Heavy Duty Vehicle Project Reporting Template	Form and Instruction	Modified	Repair queued
Form 5900-682 J_CHDV Eligibility and Scrappage Statement	Form and Instruction	Modified	Repair queued
Form 5900-681 I_DERA Supplemental Application Template	Form and Instruction	Modified	Repair queued
Form 5900-680 H_CSB Supplemental Application Template	Form and Instruction	Modified	Repair queued
Form 5900-679 G_Clean Ports Supplemental Application Template	Form and Instruction	Modified	Repair queued
Form 5900-679 State, Local or Tribal Government	Form and Instruction	Modified	Repair queued
Form PFN5900-719 Y_Clean Ports Technology Deployment Evidence Statement	Form and Instruction	Modified	Repair queued
Form PFN5900-718 X_Clean Ports Scrappage Eligibility Statement	Form and Instruction	Modified	Repair queued
Form PFN5900-721 V_Clean Ports Zero Emissions Technology Project Report	Form and Instruction	Modified	Repair queued
Form PFN5900-722 W_Funding Program Recipient Story Form	Form and Instruction	Modified	Repair queued
Form PFN5900-720 U_Clean Ports Climate and Air Quality Planning Project	Form and Instruction	Modified	Repair queued
Form 5900-693 T_CSB Utility Partnership Agreement	Form and Instruction	Modified	Repair queued
Form 5900-692 S_Clean School Bus Program Project Reporting Template	Form and Instruction	Modified	Repair queued
Form 5900-691 R_DERA Project Reporting Template	Form and Instruction	Modified	Repair queued
Form 5900-689 Q_CHDV Supplemental Application Template	Form and Instruction	Modified	Repair queued
Form 5900-688 P_DERA Scrappage Statement	Form and Instruction	Modified	Repair queued
Form 5900-687 O_DERA Eligibility Statement	Form and Instruction	Modified	Repair queued
Form 5900-686 N_CSB Eligibility and Scrap Sell Donate Statement	Form and Instruction	Modified	Available
Form 5900-685 M_Utility Partnership Agreement	Form and Instruction	Modified	Repair queued
Form 5900-684 L_Clean Ports Scrappage Evidence Statement	Form and Instruction	Modified	Repair queued
Form 5900-683 K_Clean Heavy Duty Vehicle Project Reporting Template	Form and Instruction	Modified	Repair queued
Form 5900-682 J_CHDV Eligibility and Scrappage Statement	Form and Instruction	Modified	Repair queued
Form 5900-681 I_DERA Supplemental Application Template	Form and Instruction	Modified	Available
Form 5900-680 H_CSB Supplemental Application Template	Form and Instruction	Modified	Available
Form 5900-679 G_Clean Ports Supplemental Application Template	Form and Instruction	Modified	Repair queued
Form 5900-679 Private Sector	Form and Instruction	Modified	Missing upstream
2060-0754.pdf	Public Comments	Uploaded 2025-09-02	Repair queued
2793ss02.docx	Supporting Statement A	Uploaded 2025-06-03	Repair queued
2793ss02.docx	Supporting Statement A	Uploaded 2025-06-03	Repair queued
Appendix F_Paperwork Reduction Act Text.pdf	Supplementary Document	Uploaded 2025-05-13	Available
Appendix F_Paperwork Reduction Act Text.pdf	Supplementary Document	Uploaded 2025-05-13	Repair queued
Appendix E_Buy America. PLAW-117publ58_IIJA BIL_BABA.pdf	Supplementary Document	Uploaded 2025-05-13	Available
Appendix E_Buy America. PLAW-117publ58_IIJA BIL_BABA.pdf	Supplementary Document	Uploaded 2025-05-13	Repair queued
Appendix C_CSB Program PLAW-117publ58_IIJA BIL_excerpt_Clean School Bus.pdf	Supplementary Document	Uploaded 2025-05-13	Available
Appendix C_CSB Program PLAW-117publ58_IIJA BIL_excerpt_Clean School Bus.pdf	Supplementary Document	Uploaded 2025-05-13	Repair queued
Appendix B_DERA Extract of Title VII. Subtitle G.pdf	Supplementary Document	Uploaded 2025-05-13	Available
Appendix B_DERA Extract of Title VII. Subtitle G.pdf	Supplementary Document	Uploaded 2025-05-13	Repair queued
Appendix A TCD Grants ICR Calculations_March 2025.xlsx	Supplementary Document	Uploaded 2025-05-13	Repair queued
Appendix A TCD Grants ICR Calculations_March 2025.xlsx	Supplementary Document	Uploaded 2025-05-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
264500	State, Local or Tribal Government	Form and Instruction	Modified	Y_Clean Ports Technology Deployment Evidence Statement
264500	State, Local or Tribal Government	Form and Instruction	Modified	X_Clean Ports Scrappage Eligibility Statement
264500	State, Local or Tribal Government	Form and Instruction	Modified	W_Funding Program Recipient Story Form
264500	State, Local or Tribal Government	Form and Instruction	Modified	V_Clean Ports Zero Emissions Technology Project Report
264500	State, Local or Tribal Government	Form and Instruction	Modified	U_Clean Ports Climate and Air Quality Planning Project
264500	State, Local or Tribal Government	Form and Instruction	Modified	T_CSB Utility Partnership Agreement
264500	State, Local or Tribal Government	Form and Instruction	Modified	S_Clean School Bus Program Project Reporting Template
264500	State, Local or Tribal Government	Form and Instruction	Modified	R_DERA Project Reporting Template
264500	State, Local or Tribal Government	Form and Instruction	Modified	Q_CHDV Supplemental Application Template
264500	State, Local or Tribal Government	Form and Instruction	Modified	P_DERA Scrappage Statement
264500	State, Local or Tribal Government	Form and Instruction	Modified	O_DERA Eligibility Statement
264500	State, Local or Tribal Government	Form and Instruction	Modified	N_CSB Eligibility and Scrap Sell Donate Statement
264500	State, Local or Tribal Government	Form and Instruction	Modified	M_Utility Partnership Agreement
264500	State, Local or Tribal Government	Form and Instruction	Modified	L_Clean Ports Scrappage Evidence Statement
264500	State, Local or Tribal Government	Form and Instruction	Modified	K_Clean Heavy Duty Vehicle Project Reporting Template
264500	State, Local or Tribal Government	Form and Instruction	Modified	J_CHDV Eligibility and Scrappage Statement
264500	State, Local or Tribal Government	Form and Instruction	Modified	I_DERA Supplemental Application Template
264500	State, Local or Tribal Government	Form and Instruction	Modified	H_CSB Supplemental Application Template
264500	State, Local or Tribal Government	Form and Instruction	Modified	G_Clean Ports Supplemental Application Template
264500	State, Local or Tribal Government	Form and Instruction	Modified
264499	Private Sector	Form and Instruction	Modified	Y_Clean Ports Technology Deployment Evidence Statement
264499	Private Sector	Form and Instruction	Modified	X_Clean Ports Scrappage Eligibility Statement
264499	Private Sector	Form and Instruction	Modified	V_Clean Ports Zero Emissions Technology Project Report
264499	Private Sector	Form and Instruction	Modified	W_Funding Program Recipient Story Form
264499	Private Sector	Form and Instruction	Modified	U_Clean Ports Climate and Air Quality Planning Project
264499	Private Sector	Form and Instruction	Modified	T_CSB Utility Partnership Agreement
264499	Private Sector	Form and Instruction	Modified	S_Clean School Bus Program Project Reporting Template
264499	Private Sector	Form and Instruction	Modified	R_DERA Project Reporting Template
264499	Private Sector	Form and Instruction	Modified	Q_CHDV Supplemental Application Template
264499	Private Sector	Form and Instruction	Modified	P_DERA Scrappage Statement
264499	Private Sector	Form and Instruction	Modified	O_DERA Eligibility Statement
264499	Private Sector	Form and Instruction	Modified	N_CSB Eligibility and Scrap Sell Donate Statement
264499	Private Sector	Form and Instruction	Modified	M_Utility Partnership Agreement
264499	Private Sector	Form and Instruction	Modified	L_Clean Ports Scrappage Evidence Statement
264499	Private Sector	Form and Instruction	Modified	K_Clean Heavy Duty Vehicle Project Reporting Template
264499	Private Sector	Form and Instruction	Modified	J_CHDV Eligibility and Scrappage Statement
264499	Private Sector	Form and Instruction	Modified	I_DERA Supplemental Application Template
264499	Private Sector	Form and Instruction	Modified	H_CSB Supplemental Application Template
264499	Private Sector	Form and Instruction	Modified	G_Clean Ports Supplemental Application Template
264499	Private Sector	Form and Instruction	Modified

ICR Details

OMB Control No: 2060-0754	ICR Reference No: 202411-2060-001
Status: Active	Previous ICR Reference No: 202401-2060-007
Agency/Subagency: EPA/OAR	Agency Tracking No: 2793.02
Title: Transportation and Climate Division (TCD) Grant Program Reporting Templates: Supplemental Project Application Template and Project Reporting Templates for DERA, CSB, CHD, and CP (New)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/18/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/01/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2028	36 Months From Approved	04/30/2027
Responses	1,015	0	2,032
Time Burden (Hours)	8,149	0	14,589
Cost Burden (Dollars)	0	0	0

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Abstract: "This supporting statement is for an Information Collection Request (ICR) for four mobile source related grant programs administered by the Transportation and Climate Division (TCD), within Environmental Protection Agencys (EPA) Office of Transportation and Air Quality (OTAQ). These four programs include: Diesel Emission Reduction Act (DERA) Grant Program, Clean School Bus (CSB) Grant Program, Clean Heavy-Duty (CHD) Grant Program, and Clean Ports Grant Program. The DERA Grants Program and the Clean School Bus Grant Program currently collect information under an existing ICR, the General Administrative Requirements for Assistance Programs (Renewal), ICR No. 2030-0020. The EPA currently uses ICR No. 2030-0020 to collect information for most major elements of grants administration, but to ease the burden for applicants, awardees, and Agency staff, as well as enrich data quality across programs, the Agency needs to be able to collect information via new reporting instruments, specifically program-specific, fillable data templates. This ICR for these four programs is requesting clearance to cover fillable data templates for three phases of the grant lifecycle: initial application, quarterly reporting, and final reporting. Notably, for successful grant applicants, the information in data templates collected during the application phase of the grant lifecycle will flow into the data templates for the quarterly and final reporting periods, enabling these templates to capture data efficiently throughout the life of the entire award. TCD uses approved procedures and forms to collect necessary information to operate its grant programs and has been providing grants under DERA since 2008. EPA is preparing to launch the 2024 Clean Port Program in late winter 2024, the 2024 Clean Heavy Duty in early spring 2024, as well as the 2024 DERA grant program in summer 2024, and overseeing the 2023 Clean School Bus Grantees, who are expected to begin reporting in mid-2024. While these programs each have unique statutory requirements, there are key aspects that unite them as mobile source emissions reduction efforts, and by combining them as a cohort of programs under one ICR, EPA aims to enrich data quality across our programs and to ease burden on applicants and awardees considering applying for multiple programs. Additionally, collecting data via program-specific, fillable data templates that supplement the main application document will enhance the Agency's oversight of these projects as directed by Congress. Further, doing so will also provide critical real-world performance data that the Agency would not otherwise be able to procure, which can inform future research and policy decisions related to OTAQs mission to protect human health and the environment by reducing air pollution and greenhouse gas emissions from mobile sources and advancing clean fuels and technology."

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Authorizing Statute(s): PL: Pub.L. 116 - 260 101 Name of Law: Consolidated Appropriations Act 2021
   PL: Pub.L. 117 - 58 71101 Name of Law: Infrastructure Investment and Jobs Act
   PL: Pub.L. 117 - 169 60101 Name of Law: Inflation Reduction Act
   PL: Pub.L. 117 - 169 60102 Name of Law: Inflation Reduction Act
   PL: Pub.L. 109 - 58 791-797 Name of Law: Energy Policy Act of 2005
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 101	01/02/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 24608	06/11/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Private Sector	5900-680, 5900-679, 5900-681, 5900-682, 5900-683, 5900-684, 5900-685, 5900-686, 5900-687, 5900-688, 5900-693, 5900-689, 5900-691, 5900-692, PFN5900-720, PFN5900-722, PFN5900-721, PFN5900-718, PFN5900-719	G_Clean Ports Supplemental Application Template ,   H_CSB Supplemental Application Template ,   I_DERA Supplemental Application Template ,   J_CHDV Eligibility and Scrappage Statement ,   K_Clean Heavy Duty Vehicle Project Reporting Template ,   L_Clean Ports Scrappage Evidence Statement ,   M_Utility Partnership Agreement ,   N_CSB Eligibility and Scrap Sell Donate Statement ,   O_DERA Eligibility Statement ,   P_DERA Scrappage Statement ,   Q_CHDV Supplemental Application Template ,   R_DERA Project Reporting Template ,   S_Clean School Bus Program Project Reporting Template ,   T_CSB Utility Partnership Agreement ,   U_Clean Ports Climate and Air Quality Planning Project ,   W_Funding Program Recipient Story Form ,   V_Clean Ports Zero Emissions Technology Project Report ,   X_Clean Ports Scrappage Eligibility Statement ,   Y_Clean Ports Technology Deployment Evidence Statement
State, Local or Tribal Government	5900-680, 5900-679, 5900-681, 5900-689, 5900-691, 5900-682, 5900-683, 5900-684, 5900-692, 5900-685, 5900-686, 5900-687, 5900-693, 5900-688, PFN5900-720, PFN5900-721, PFN5900-722, PFN5900-718, PFN5900-719	G_Clean Ports Supplemental Application Template ,   H_CSB Supplemental Application Template ,   I_DERA Supplemental Application Template ,   J_CHDV Eligibility and Scrappage Statement ,   K_Clean Heavy Duty Vehicle Project Reporting Template ,   L_Clean Ports Scrappage Evidence Statement ,   M_Utility Partnership Agreement ,   N_CSB Eligibility and Scrap Sell Donate Statement ,   O_DERA Eligibility Statement ,   P_DERA Scrappage Statement ,   Q_CHDV Supplemental Application Template ,   R_DERA Project Reporting Template ,   S_Clean School Bus Program Project Reporting Template ,   T_CSB Utility Partnership Agreement ,   U_Clean Ports Climate and Air Quality Planning Project ,   V_Clean Ports Zero Emissions Technology Project Report ,   W_Funding Program Recipient Story Form ,   X_Clean Ports Scrappage Eligibility Statement ,   Y_Clean Ports Technology Deployment Evidence Statement

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,015	2,032	0	-51	-966	0
Annual Time Burden (Hours)	8,149	14,589	0	-322	-6,118	0
Annual Cost Burden (Dollars)	0	0	0	781,383	-781,383	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is a decrease of 6,440 hours in the total estimated respondent burden compared with the ICR currently approved by OMB. This decrease is due Finalization of Program Design, advancement of funding programs, new and revised instruments, and revised burden calculations.

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Annual Cost to Federal Government: $409,793

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/01/2025

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