OMB control number

Safe Streets and Roads for All Grant Program

OMB 2125-0675 · DOT/FHWA.

OMB 2125-0675

This information collection is entitled Discretionary Grants for the Safe Streets and Roads for All (SS4A) Program. The U.S. Department of Transportation’s (USDOT) Office of the Secretary of Transportation (OST), in close collaboration with the Federal Highway Administration (FHWA), provides financial assistance to a political subdivision of a State, a Federally recognized Tribal government, a metropolitan planning organization (MPO), or a multi jurisdictional group of entities described above through the Safe Streets and Roads for All Grant Program. * Responding to the collection is voluntary and is required to obtain or retain a benefit. * Responders are MPOs, political subdivisions of a State, Federally recognized Tribal agencies, and multi jurisdictional groups comprised of these entities. * The collection includes a grant application, grant agreement, project management, and project evaluation phase. It has a reporting requirement. * The information is collected as needed. * The collection of information is necessary to receive applications for grant funds, monitor project financial conditions and project progress, evaluate the effectiveness of grant-funded projects, and share best practices, pursuant to the Department’s Safe Streets and Roads for All discretionary grant program. Additional information relevant to the application is detailed in the Notice of Funding Opportunity (NOFO), and reporting requirements are agreed to by grant recipients during the grant agreement execution process. * The information will be received by the Department, including OST and FHWA. * The purpose of the collection is to receive information relevant to evaluating applications to the Safe Streets and Roads for All Grant Program, per the NOFO, and reporting requirements agreed to by recipients of the grants. * Revision for FY23 and beyond: Please note that in the FY23 NOFO, DOT renamed “Action Plan” grants “Planning and Demonstration” grants, to emphasize the broader range of eligible planning activities. However, the application process has not changed substantively from the previously-approved FY22 process. SS4A applications must include the answers to Key Information Questions, submitted through the USDOT’s automated proposal website. These question lists were approved in the FY22 emergency approval. After registering in the system, the applicant will be prompted to answer the questions on the website.

The latest form for Safe Streets and Roads for All Grant Program expires 2027-07-31 and is listed under ICR 202309-2125-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form OST Final Performance Measures Report (Narrative)Form and Instruction
Form OST Annual Traffic Crash Data (Implementation Grant recipients) (OST)Form and Instruction
Form SF271 Outlay Report and Request for Reimbursement for Construction ProgramsForm and Instruction
Form SF270 Request for Advance or ReimbursementForm
Form OST Quarterly Progress Report (existing recipients)Form and Instruction
Form OST Quarterly Progress Report (new recipients)Form and Instruction
Form SF425 Federal Financial Report (existing recipients)Form and Instruction
Form SF425 Federal Financial Report (new recipients)Form and Instruction
Form OST Grant Agreement (FHWA)Form and Instruction
Form OST Self-Certification Eligibility Worksheet, Supplemental Planning and Demonstration Grants and Implementation Grants (300 Implementation Grants+ subset of 100 Supplemental Planning and Demonstration GraForm and Instruction
Form OST Project Area Crash Data Form, Implementation Grants (OST)Form
Form OST Supplemental Estimated Budget, Implementation Grants (OST)Form and Instruction
Form OST Supplemental Estimated Budget, Planning and Demonstration Grants, Supplemental Planning and/or Demonstration Grants (OST)Form and Instruction
Form SFLLL Disclosure of Lobbying Activities (SF LLL)Form
Form SF424D Assurances for Construction Programs (SF 424D)Form
Form SF424C Budget Information for Construction Programs (SF 424C)Form
Form SF424B Assurances for Non-Construction Programs (SF 424B)Form
Form SF424A Budget Information for Non-Construction Programs (SF 424A)Form
Form SF424 Application for Federal Assistance (SF 424)Form
Form OST Application and Submission Information for Planning and Demonstration Grants (OST)Form and Instruction
Form OST Application and Submission Information for Implementation Grants (OST)Form and Instruction
30Day FRN.pdf Supplementary Document
SS4A PRA FY23-FY24 Supporting Statement UPDATED_1.4.2023.docxSupporting Statement A
60Day FRN.pdf Supplementary Document
Final Performance Measures Report (Narrative) Form and Instruction
Annual Traffic Crash Data (Implementation Grant recipients) (OST) Form and Instruction
Outlay Report and Request for Reimbursement for Construction Programs Form and Instruction
Request for Advance or Reimbursement Form
Quarterly Progress Report (existing recipients) Form and Instruction
Quarterly Progress Report (new recipients) Form and Instruction
Federal Financial Report (existing recipients) Form and Instruction
Federal Financial Report (new recipients) Form and Instruction
Grant Agreement (FHWA) Form and Instruction
Self-Certification Eligibility Worksheet, Supplemental Planning and Demonstration Grants and Implementation Grants (300 Implementation Grants+ subset of 100 Supplemental Planning and Demonstration Gra Form and Instruction
Project Area Crash Data Form, Implementation Grants (OST) Form
Supplemental Estimated Budget, Implementation Grants (OST) Form and Instruction
Supplemental Estimated Budget, Planning and Demonstration Grants, Supplemental Planning and/or Demonstration Grants (OST) Form and Instruction
Disclosure of Lobbying Activities (SF LLL) Form
Assurances for Construction Programs (SF 424D) Form
Budget Information for Construction Programs (SF 424C) Form
Assurances for Non-Construction Programs (SF 424B) Form
Budget Information for Non-Construction Programs (SF 424A) Form
Application for Federal Assistance (SF 424) Form
Planning and Demonstration Grant Application Information collection
Implementation Grant Application Information collection
Application and Submission Information for Planning and Demonstration Grants (OST) Form and Instruction
Application and Submission Information for Implementation Grants (OST) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202309-2125-001 Reinstatement with change of a previously approved collection 2024-01-10 Approved with change
202303-2125-001 New collection (Request for a new OMB Control Number) 2023-03-15 Approved with change

OMB Details

Application and Submission Information for Implementation Grants (OST)

Federal Enterprise Architecture: Transportation - Ground Transportation

Information collection instruments
FormNameElectronic accessType
Form OSTImplementation Grant ApplicationFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.