Information Collection

Application for a Short-Term Grant (43 CFR 2804.12(a) and 2809.19(d))

IC 211334 under ICR 202506-1004-003 · OMB 1004-0206.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-299 Application for a Short-Term Grant (43 CFR 2804.12(a) and 2809.19(d))	Form and Instruction
Form SF-299 Application for Transportation & Utility Systems & Facilities on Federal Lands Application for a Short-Term Grant (43 CFR 2804.12(a) and 2809.19(d))	Form and Instruction
SF-299 Application for Transportation & Utility Systems & Facil Lands ROW Form SF299.pdf	Form and Instruction
SF-299 Application for Transportation & Utility Systems & Facil Lands ROW Form SF299.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 2809.19(d) 43 CFR 2804.12(a)

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	SF-299				Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	1,239	1,239

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.

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