This is the standard form prescribed for recipients to use to request advances or reimbursement on all non-construction programs when the advance payment or reimbursement methods are used. We estimate that this form imposes 1 burden hour on the recipient and 1.5 burden hours on EPA.
None
Amanda Kemp 415 564-4096 kemp.amanda@epa.gov
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
100
0
0
100
0
0
Annual Time Burden (Hours)
100
0
0
100
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Yes
Miscellaneous Actions
No
This is the standard form prescribed for recipients to use to request advances or reimbursement on all non-construction programs when the advance payment or reimbursement methods are used. We estimate that this form imposes 1 burden hour on the recipient and 1.5 burden hours on EPA.