Federal and Non-Federal Financial Assistance Instruments

ICR 202203-0596-006

OMB: 0596-0217

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Supplementary Document
2022-04-05
Justification for No Material/Nonsubstantive Change
2022-03-08
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supplementary Document
2021-03-31
Supporting Statement A
2022-04-05
ICR Details
0596-0217 202203-0596-006
Received in OIRA 202203-0596-002
USDA/FS
Federal and Non-Federal Financial Assistance Instruments
No material or nonsubstantive change to a currently approved collection   No
Regular 04/05/2022
  Requested Previously Approved
02/28/2023 02/28/2023
4,940 4,940
42,495 42,495
0 0

The purpose of this collection is to collect information necessary for Forest Service to conduct the Agency's Federal and Non-Federal Financial Assistance program to develop projects, make or receive payment, monitor projects, as well as the necessary statements of work and financial plans.

US Code: 16 USC 1271 et seq. Name of Law: Wild and Scenic Rivers Act (Pub. L. 90-542)
   US Code: 16 USC 532-538 Name of Law: National Forest Roads and Trails Act of 10/13/1965 (Pub. L. 88-657)
   US Code: 7 USC 2814 Name of Law: Federal Noxious Weed Act of 1974 (Pub. L. 93-629, Pub. L. 101-624)
   US Code: 42 USC 12501 Name of Law: National and Community Service Act of 1990 (Pub. L. 101-610)
   US Code: 7 USC 2269 Name of Law: Acceptance of Gifts Act of October 10, 1978
   US Code: 16 USC 572 Name of Law: Granger-Thye Act of 4/24/1950
   US Code: 31 USC 6301-6308 Name of Law: Federal Grants and Cooperative Agreements Act of 1977, as amended (Pub. L. 97-258, as amended)
   US Code: 16 USC 565al-a3 Name of Law: Cooperative Funds and Deposits Act of 12/12/1975, Pub. L. 95-442
   US Code: 7 USC 3318-3319 Name of Law: Food Security Act of 1985
   US Code: 16 USC 670g-670l, 670o Name of Law: Sikes Act of September 1, 1960
   PL: Pub.L. 111 - 11 30001 Name of Law: Wyden Amendment
   PL: Pub.L. 106 - 393 All Name of Law: Secure Rural Schools and Community Self-Determination Act of 2000
   PL: Pub.L. 108 - 7 323 Name of Law: Stewardship Authority
   US Code: 16 USC 498 Name of Law: Cooperative Funds Act of 6/30/1914, as amended by Pub. L. 104-127
   PL: Pub.L. 102 - 154 Challenge Cost Share Name of Law: Interior and Related Agencies Appropriations Act of 1992
   US Code: 5 USC 3343, 3581-3584 Name of Law: Federal Employees International Organization Service Act, as amended
   US Code: 16 USC 551a Name of Law: Cooperative Law Enforcement Act of August 10, 1971 (Pub. L. 92-82)
   US Code: 15 USC 3710a Name of Law: Federal Technology Transfer Act of 1986, Pub. L 96-480
   US Code: 16 USC 1701-1706 Name of Law: Youth Conservation Corps Act of 1970, as amended
   US Code: 16 USC 1641-1646 Name of Law: Forest and Rangeland Renewable Resources Research Act of 1978, as amended (Pub. L 95-307)
   US Code: 16 USC 2101-2114 Name of Law: Cooperative Forestry Assistance Act of 1978, as amended (Pub. L. 95-313)
   US Code: 7 USC 6601 Name of Law: National Forest Dependent Rural Communities Economic Diversification Act of 1990
   US Code: 42 USC 1856a Name of Law: Reciprocal Fire Act of May 27, 1955 (Pub. L. 84-46)
   US Code: 16 USC 1246(h) Name of Law: National Trails System Act (Pub. L. 90-543)
  
None

Not associated with rulemaking

  85 FR 56575 09/14/2020
86 FR 24582 05/07/2021
No

4
IC Title Form No. Form Name
Grants and Agreement Face Sheet FS-1500-100 Grant or Agreement Award Cover Sheet
Individuals FS-1500-9, FS-1500-9a, FS-1500-10c, FS-1500-11, FS-1500-13, FS-1500-14, FS-1500-14a, FS-1500-21b, FS-1500-16a, FS-1500-16b, FS-1500-35, FS-1500-17a, FS-1500-23, FS-1500-19, FS-1500-10, SF-424 (R&R), FS-1500-15, FS-1500-15a, FS-1500-12, FS-1500-13a, FS-1500-13b, FS-1500-16, FS-1500-16f, FS-1500-16g, FS-1500-21, FS-1500-21a, FS-1500-21c, FS-1500-21d, FS-1500-17b, FS-1500-17c, FS-1500-18, SF-424 (Individual), FS-1500-22A, FS-1500-22B, FS-1500-22, FS-1500-34 Financial Plan Long Form ,   Application for Federal Assistance (Individual) ,   Application for Federal Assistance (Research & Related) ,   Optional Project Progress Report ,   Modification of Grant or Agreement ,   Certification Regarding Lobbying ,   Challenge Cost Share Agreement ,   Cooperative Forest Road Agreement ,   Road Project Agreement ,   Non Funded Challenge Cost Share Agreement ,   Collection Agreement ,   Cooperative Research and Development Agreement ,   Joint Venture Agreement ,   International Joint Venture ,   Participating Agreement ,   Participating Agreement for Fuels or Noxious Weed Treatment ,   Non Funded Participating Agreement ,   Master Stewardship Agreement ,   Stewardship Agreement SPA ,   Stewardship Agreement Financial Plan ,   Stewardship Agreement ,   Stewardship Agreement (Short Form) ,   Agreements Financial Plan (Short) ,   Agreements Financial Plan (Medium Form) ,   Collection Agreement Financial Plan ,   Master Participating Agreement ,   Participating Agreement Supplemental Project Agreement ,   Memorandum of Understanding ,   Memorandum of Understanding for Cooperative Frequency Use ,   Cost-Reimbursable Agreement ,   Material Transfer Agreement ,   Nondisclosure Agreement ,   Financial Capability Questionnaire ,   Financial Capability Checklist ,   Financial Capability Checklist for State Agencies and Individuals ,   Grant Equipment Justification and Certification Statement
Private Sector - Federal/Non-Federal Financial Assistance Instruments FS-1500-23, FS-1500-34, FS-1500-35, FS-1500-11b, FS-1500-23, FS-1500-22, FS-1500-22a, SF-424 (R&R), FS-1500-10c, FS-1500-11a, FS-1500-16g, FS-1500-21d, SF-424, FS-1500-16e , FS-1500-16d, FS-1500-16f, FS-1500-21, FS-1500-21a, FS-1500-21b, FS-1500-10a , FS-1500-13b , FS-1500-13a , FS-1500-17c, FS-1500-10b , FS-1500-13, FS-1500-14, FS-1500-16, FS-1500-10, FS-1500-11, FS-1500-12, FS-1500-15, FS-1500-17a, FS-1500-17b, FS-1500-19, FS-1500-9, FS-1500-18, FS-1500-14a , FS-1500-16a , FS-1500-16b , FS-1500-16c , FS-1500-7 , FS-1500-8 , FS-1500-8a , FS-1500-9a , FS-1500-21c , FS-1500-15a, FS-1500-22B Challenge Cost-Share Agreement ,   Collection Agreement ,   Cost-Reimbursable Agreement ,   Cooperative Research and Development Agreement ,   Joint Venture Agreement ,   Participating Agreement ,   Modification Form ,   Cooperative Forest Road Agreement ,   Memorandum of Understanding ,   Financial Plan (form A) ,   Financial Plan (form B) ,   Collection Agreement Financial Plan ,   FS 1500-7 Cooperative Fire Agreement.doc ,   FS 1500-8 Cooperative Law Enforcement Agreement ,   FS 1500-8a Cooperative Law Enforcement AOP.doc ,   FS 1500-9a Road Project Agreement ,   FS 1500-10a Master Challenge Cost Share Agreement ,   FS 1500-10b Challenge Cost Share SPA ,   FS 1500-13a Material Transfer Agreement.doc ,   FS 1500-13b Nondisclosure Agreement ,   FS 1500-14a International Joint Venture Agreement ,   FS 1500-16a Master Participating Agreement ,   FS 1500-16b Participating Agreement SPA ,   FS 1500-16c Participating Agreement with Interpretive Association ,   FS 1500-17c Financial Plan Medium Form ,   Memorandum of Understanding for Cooperative Frequency Usage ,   Master Participating Agreement with Interpretative Associations ,   Participating Agreement Supplemental Project Agreement with Interpretive Associations ,   Participating Agreement for Fuels or Noxious Weed Treatment ,   Master Stewardship Agreement ,   Stewardship Agreement Supplemental Project Agreement ,   Stewardship Financial Plan ,   Stewardship Agreement ,   Application for Federal Assistance ,   Application for Federal Assistance – Research ,   Optional Project Progress Report ,   Financial Capability Questionaire ,   Financial Capability Checklist ,   Grant Equipment Justification and Certification Statement ,   Certification Regarding Lobbying ,   Non-Funded Challenge Cost Share Agreement ,   Reimbursable Collection Agreement with Rocky Mountian Elk Foundation ,   Advance Collection Agreement, Rocky Mountain Elk Foundation ,   Non Funded Participating Agreement ,   Stewardship Agreement (Short Form) ,   Optional Project Progress Report ,   Financial Capability Checklist for State Government Agencies
State, Local, and Tribal Govt. - Federal and Non-Federal Financial Assistance Instruments FA-1500-36, FS-1500-22A, FS-1500-36a, FS-1500-36b, FS-1500-37, FS-6500-235, FS-1500-34, FS-1500-35, FS-1500-10c, FS-1500-16g, FS-1500-21d, FS-1500-23, FS-1500-22, FS-1500-22b, Supplemental Provisions, SF-424, SF-424 (R&R), FS-1500-15a, FS-1500-9a, FS-1500-10a, FS-1500-13a, FS-1500-13b, FS-1500-16a, FS-1500-13, FS-1500-14, FS-1500-9, FS-1500-17b, FS-1500-12, FS-1500-11, FS-1500-18, FS-1500-16, FS-1500-7, FS-1500-8a, FS-1500-15, FS-1500-17a, FS-1500-10, FS-1500-19, FS-1500-8, FS-1500-11A, FS-1500-16e, FS-1500-11B, FS-1500-14A, FS-1500-16c, FS-1500-16d, FS-1500-16f, FS-1500-10b, FS-1500-16b, FS-1500-17c, FS-1500-21, FS-1500-21a, FS-1500-21b, FS-1500-21c, FS-1500-22 Challenge Cost-Share Agreement ,   Collection Agreement ,   Cost-Reimbursable Agreement ,   Cooperative Research and Development Agreement ,   Joint Venture Agreement ,   Participating Agreement ,   Coooperative Law Enforcement Agreement ,   Modification Form ,   Cooperative Fire Protection Agreement ,   Cooperative Law Enforcement AOP ,   Cooperative Forest Road Agreement ,   Memorandum of Understanding ,   Financial Plan A ,   Financial Plan B ,   Collection Agreement Financial Plan ,   Road Project Agreement ,   Master Challenge Cost Share Agreement ,   Material Transfer Agreement ,   Nondisclosure Agreement ,   Memorandum of Understanding for Cooperative Frequency Usage ,   Challenge Cost Share Supplemental Project Agreement ,   Master Participating Agrement ,   Participating Agreement Supplemental Project Agreement ,   Agreement Financial Plan (Medium Form) ,   Master Stewardship Agreement ,   Stewardship Agreement Supplemental Project Agreement ,   Stewardship Financial Plan ,   Stewardship Agreement ,   Collection Agreement RMEF Reimbursable ,   Collection Agrement RMEF Advance ,   International Joint Venture Agreement ,   Participating Agreement with Interpretive Association ,   Master Participating Agreement with Interpretive Association ,   Participating Agreement SPA with Interpretive Association ,   Participating Agreement for Fuels or Noxious Weed Treatment ,   Application for Federal Assistance ,   Application for Federal Assistance (Research & Related) ,   Optional Project Progress Report ,   Financial Capability Questionaire ,   Financial Capability Checklist for State Government Agencies Only ,   Grant Equipment Justification and Certification Statement ,   Certification Regarding Lobbying ,   Non Funded Challenge Cost Share Agreement ,   Non Funded Participating Agreement ,   Stewardship Agreements (Short Form) ,   Supplemental Provisions to the 7600A ,   Good Neighbor Agreement ,   Good Neighbor Agreement Master Farm Bill Agreement ,   Good Neighbor Agreement Supplemental Project Agreement ,   Good Neighbor Agreement Appropriations Act Agreement ,   De-obligation and Closeout Request Form ,   Financial Capability Questionnaire ,   Financial Capability Checklist

  Total Request 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 4,940 4,940 0 0 0 0
Annual Time Burden (Hours) 42,495 42,495 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
We are requesting approval to combine 0596-0250 / Grant or Agreement Award Face Sheet to 0596-0217 information collection. The face sheet was created as an emergency through USDA publishing a Federal Register Notice on August 10, 2021, to ensure the Paperwork Reduction Act instrument was usable. If approved for emergency use, this form will be combined with 0596-0217 at the time of renewal (expiration date is 02/2023). We are seeking to combine 0596-0250 into 0596-0217 information collection and include 50 burden hours and 50 respondents.

$468,563
No
    No
    No
No
No
No
No
Dannette Jones 202 205-1295 dannette.jones@usda.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/05/2022


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