View Information Collection (IC)
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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Private Sector
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
2 CFR 200
2 CFR 1500
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5900-679
G_Clean Ports Supplemental Application Template
G_5900-679_Clean Ports Supplemental Application Template_2025.03.28.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-680
H_CSB Supplemental Application Template
H_5900-680_CSB Supplemental Application Template_2025.03.28.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-681
I_DERA Supplemental Application Template
I_5900-681_DERA Supplemental Application Template_2025.03.28.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-682
J_CHDV Eligibility and Scrappage Statement
5900-682 CHDV Elig_Scrap Statement_2025.07.29.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-683
K_Clean Heavy Duty Vehicle Project Reporting Template
5900-683 app-k-chdv-grant-project-report- template_2025.08.01.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-684
L_Clean Ports Scrappage Evidence Statement
L_5900-684_Clean Ports Scrappage Evidence Statement_2025.03.28.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-685
M_Utility Partnership Agreement
M_5900-685_Utility Partnership Agreement_2025.03.28.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-686
N_CSB Eligibility and Scrap Sell Donate Statement
5900-686 app n CSB Elig and Scrap_2025.07.29.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-687
O_DERA Eligibility Statement
O_5900-687_DERA Eligibility Statement_2025.03.28.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-688
P_DERA Scrappage Statement
P_5900-688_DERA Scrappage Statement_2025.03.28.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-689
Q_CHDV Supplemental Application Template
Q_5900-689_CHDV Supplemental Application Template_2025.03.28.xlsx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
5900-691
R_DERA Project Reporting Template
5900-691 app-r-dera-proj-report-template-2025.07.29.xlsx
Yes
Yes
Fillable Fileable
Form and Instruction
5900-692
S_Clean School Bus Program Project Reporting Template
5900-692 app-s-csb-proj-report-template_2025.07.29.xlsm
Yes
Yes
Fillable Fileable
Form and Instruction
5900-693
T_CSB Utility Partnership Agreement
T_5900-693_CSB Utility Partnership Agreement_2025.03.28.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
PFN5900-720
U_Clean Ports Climate and Air Quality Planning Project
5900-720 app-u-clean-ports-report-template_2025.08.01.xlsx
Yes
Yes
Fillable Fileable
Form and Instruction
PFN5900-722
W_Funding Program Recipient Story Form
W_PFN5900-722_Funding Program Recipient Story Form.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
PFN5900-721
V_Clean Ports Zero Emissions Technology Project Report
5900-721 app-v-clean-ports-zero-emission-tech-report-template_2025.08.01.xlsx
Yes
Yes
Fillable Fileable
Form and Instruction
PFN5900-718
X_Clean Ports Scrappage Eligibility Statement
X_PFN5900-718_Clean Ports Scrappage Eligibility Statement.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
PFN5900-719
Y_Clean Ports Technology Deployment Evidence Statement
Y_PFN5900-719_Clean Ports Technology Deployment Evidence Statement.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Pollution Prevention and Control
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
633
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
211
0
-11
-215
0
437
Annual IC Time Burden (Hours)
1,694
0
-57
-1,086
0
2,837
Annual IC Cost Burden (Dollars)
0
0
123,003
-123,003
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.