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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
40 CFR 31
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5700-54
"Key Contacts Form
EPA Form 5700-54.pdf
http://www.epa.gov/ogd/forms/forms.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
6600-06
Certification Regarding Lobbying
EPA Form 6600-06.pdf
http://www.epa.gov/ogd/AppKit/application.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
NCER Form 5
Current and Pending Support
NCER Form 5.pdf
http://epa.gov/ncer/rfa/forms/NCER_std_form_5-STAR_Grant_applications.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 270
Request for Advance or Reimbursement
sf270.pdf
http://www.epa.gov/ogd/forms/forms.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 271
Outlay Report and Request for Reimbursement for Construction Programs
sf271.pdf
http://www.epa.gov/ogd/forms/forms.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF LLL
Disclosure of Lobbying Activities
sflllin.pdf
http://www.epa.gov/ogd/forms/forms.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 428
Tangible Personal Property
sf-428.pdf
http://www.whitehouse.gov/omb/grants_forms
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 429
Real Property Status Report
sf-429.pdf
http://www.whitehouse.gov/omb/grants_forms
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF SAC
Data Collection Form for Single Audits
2010_SF-SAC_Revison.pdf
http://www.whitehouse.gov/omb/grants_forms
Yes
Yes
Fillable Fileable Signable
Form and Instruction
RPPR
RPPR
RPPR format 02-09-12.doc
none
No
No
Fillable Printable
Form and Instruction
190-F-04-001
US EPA Payment Request
EPA Form 190-F-04-001.pdf
http://www.epa.gov/ogd/forms/forms.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5700-53
Lobbying and Litigation Certificate
EPA Form 5700-53.pdf
http://www.epa.gov/ogd/forms/forms.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 428-A
Tangible Personal Property Report Annual Report
SF-428-A.pdf
http://www.whitehouse.gov/omb/grants_forms
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 428-B
Tangible Personal Property Report Final Report
SF-428-B.pdf
http://www.whitehouse.gov/omb/grants_forms
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 428-C
Tangible Personal Property Report Disposition Request/Report
SF-428-C.pdf
http://www.whitehouse.gov/omb/grants_forms
Yes
Yes
Fillable Fileable Signable
Form and Instruction
SF 428-S
Tangible Personal Property Report Supplemental Sheet
SF-428-S.pdf
http://www.whitehouse.gov/omb/grants_forms
Yes
Yes
Fillable Fileable Signable
Form and Instruction
4700-4
Preaward Compliance Review Report for All Applicants and Recipients Requesting EPA Financial Assistance
EPA Form 4700-4 Rev 6.5.15.pdf
http://www.epa.gov/ogd/forms/forms.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5700-52A
MBE/WBE Utilization Under Federal Grants and Cooperative Agreements
EPA Form 5700-52A Rev 6.5.15.docx
http://www.epa.gov/ogd/forms/forms.htm
Yes
Yes
Fillable Fileable Signable
Form and Instruction
6600-08
Lobbying Cost Certificate for Indirect Costs/Certificate of Indirect Costs for State and Local Governments
EPA Form 6600-08 Rev 6.5.15.pdf
No
Fillable Printable
Form and Instruction
6600-09
EPA Administrative Capability Questionnaire
EPA Form 6600-09 Rev 6.5.15.pdf
No
Fillable Printable
Form and Instruction
6600-01
Limited Scope Administrative and Financial Review Questionnaire
EPA Form 6600-01 Rev 6.5.15.docx
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,726
Number of Respondents for Small Entity:
3,781
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
29,184
0
0
0
0
29,184
Annual IC Time Burden (Hours)
103,245
0
0
0
0
103,245
Annual IC Cost Burden (Dollars)
0
0
0
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.