Application to Reserve Funds - Private and Non-profits

Diesel Emissions Reduction Act (DERA) Rebate Program (New Collection)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2060-0686 can be found here:

Documents and Forms

Document Name Document Type
Form in process Application to Reserve Funds - Private and Non-profits Form
Application to Reserve Funds Instructions.docx Instruction
in process Application to Reserve Funds DERA Reserve Funds Application.pdf Form

Information Collection (IC) Details

IC Title:	Application to Reserve Funds - Private and Non-profits	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	in process	Application to Reserve Funds	DERA Reserve Funds Application.pdf		No	No	Fillable Fileable Signable
Instruction			Application to Reserve Funds Instructions.docx		No	No	Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	282	282
Annual IC Cost Burden (Dollars)	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.