Information Collection

Application

IC 258011 under ICR 202604-1028-001 · OMB 1028-0133.

Documents and Forms

Document Name Document Type
Budget Sheets Application Form
Award Terms and Conditions Application Form
Form SF424 Application for Federal Assistance SF-424 Application Form
Form SF 424A BUDGET INFORMATION - Non-Construction Programs Application Form
Form SF424B ASSURANCES - NON-CONSTRUCTION PROGRAMS Application Form
Attachment A_summary.pdf Instruction
Attachment C_DMP.pdf Instruction
2026_EMRI_Mine_Waste_NOFO_G26AS00102.docx Instruction
Budget Sheets AttachmentB_budget_sheets.pdf Form
Award Terms and Conditions AttachmentD_CO Draft T&C.pdf Form
SF424 Application for Federal Assistance SF-424 SF424_4_0-V4.0.pdf Form
SF 424A BUDGET INFORMATION - Non-Construction Programs SF424A-V1.0.pdf Form
SF424B ASSURANCES - NON-CONSTRUCTION PROGRAMS SF424B-V1.1.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Attachment A_summary.pdf	Yes	Yes	Fillable Printable
Instruction			Attachment C_DMP.pdf	Yes	Yes	Fillable Printable
Form	n/a	Budget Sheets	AttachmentB_budget_sheets.pdf	Yes	Yes	Fillable Printable
Form	n/a	Award Terms and Conditions	AttachmentD_CO Draft T&C.pdf	Yes	Yes	Fillable Printable
Instruction			2026_EMRI_Mine_Waste_NOFO_G26AS00102.docx	Yes	Yes	Fillable Printable
Form	SF424	Application for Federal Assistance SF-424	SF424_4_0-V4.0.pdf	Yes	Yes	Fillable Fileable
Form	SF 424A	BUDGET INFORMATION - Non-Construction Programs	SF424A-V1.0.pdf	Yes	Yes	Fillable Fileable
Form	SF424B	ASSURANCES - NON-CONSTRUCTION PROGRAMS	SF424B-V1.1.pdf	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25	5	20
Annual IC Time Burden (Hours)	1,500	300	1,200
Annual IC Cost Burden (Dollars)	0	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.

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