Information Collection

49 U.S.C. State of Good Repair Program

IC 208436 under ICR 202605-2132-002 · OMB 2132-0577.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
State of Good Repair Grant Program Application Instructions.pdf www.transit.dot.gov/sites/fta.dot.gov/files/docs/FTA_Circular_5300_published_02-28-15.pdf	Instruction
State of Good Repair Application.docx	Other-Screeemshot of SGR Application
State of Good Repair Federal Financial Report.docx	Other-Screenshot
State of Good Repair Milestone Report.docx	Other-Screenshot of Milestone Report

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: 49 CFR 18

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	https://www.transit.dot.gov/sites/fta.dot.gov/files/docs/FTA_Circular_5300_published_02-28-15.pdf	Yes	Yes	Printable Only
Other-Screeemshot of SGR Application		Yes	Yes	Fillable Fileable
Other-Screenshot		Yes	Yes	Fillable Fileable
Other-Screenshot of Milestone Report		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,097

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,097	1,097
Annual IC Time Burden (Hours)	13,729	13,729
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.

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