5900-645 Application Form

2022 EPA Clean School Bus Rebate Forms
Application User Guide

May 20, 2022

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EA~United

States
Environmental Protection
Agency

EPA-420-B-22-026

Table of Contents
1. Sign In/Register................................................................................... 5
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12
1.13
1.14

Online Rebate Application Information....................................................... 5
Applicant Login........................................................................................... 6
Login.gov.................................................................................................... 6
Terms of Service and Privacy Policy ........................................................... 7
Login.gov Account...................................................................................... 7
Create Your Account ................................................................................... 8
Email Confrmation .................................................................................... 8
Confrm Email Address .............................................................................. 9
Create a Password ..................................................................................... 9
Continue Once Password Created ........................................................... 10
Authentication Methods........................................................................... 10
Authentication: Phone Number................................................................ 11
Authentication: Security Code.................................................................. 11
Login.gov Account Created ...................................................................... 12

2. Create/Edit a New Application......................................................... 13
2.1
2.2
2.3
2.4
2.5
2.6

Start a New Application............................................................................ 13
Continue with New Application................................................................ 14
Information Icons ..................................................................................... 14
Welcome Screen...................................................................................... 15
Applicant Type .......................................................................................... 16
Correcting Errors and Saving Draft Applications....................................... 16
2.6.1
2.6.2
2.6.3

2.7
2.8
2.9
2.10

Data Entry Errors...........................................................................................17
Saving and Editing Your Information ............................................................. 18
View Draft and Submitted Applications ........................................................ 18

Applicant Information ............................................................................... 19
Private Fleet Information .......................................................................... 20
School District Information....................................................................... 21
NCES District ID....................................................................................... 22

•-------------2

2.11
2.12
2.13
2.14
2.15
2.16
2.17
2.18

NCES District ID: School District Selection .............................................. 22
NCES District ID: Seven Character Number ............................................ 23
Estimated Student Poverty Rate .............................................................. 23
Bus Information........................................................................................ 24
Bus Information: Data Entry..................................................................... 25
Enter Multiple Buses................................................................................ 26
Value Ranges............................................................................................ 27
Review and Sign Application .................................................................... 28

3. Submission and Review Process ..................................................... 29
Appendix A—Glossary .......................................................................... 30
Appendix B—Printable List of Fields .................................................. 33

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3

Before You Begin
This guide will walk you through the steps needed to create, edit, submit, and view your 2022 Clean School
Bus rebate application online. This guide also includes detailed defnitions of key felds found in the online form
and a printable list of all felds required in the form.
Follow these steps to prepare for completing the application:
1.

Confrm SAM.gov Points of Contact. Confrm that the email of the person completing the application
is registered as a designated Point of Contact (POC) in your organization’s active SAM.gov entity
registration. Otherwise, the person will not be able to use the rebate application system. Click here for
more information on SAM.gov POCs.

2. Review the glossary of terms used in the rebate application (see Appendix A).
3. Compile all required data. Appendix B provides a printable list of all necessary data felds.
4. Check browser version. Before flling out the rebate application, make sure the web browser version
meets or exceeds the following versions:
— Chrome 38
— Safari 7.1
— Internet Explorer 11
— Firefox 13
Note: The heading numbers on the following pages correspond to the application screen sequence.

•-------------4

1. Sign In/Register
1.1

Online Rebate Application Information

Access the online rebate application from the Clean School Bus Program online rebate application
information page.
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nited

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States

Environmental Protection

Elit#f§@§I

Agency

F.nVlmnmental Top•~ v

Laws & Regulations v

Report a Violation v

About EPA v

Clean School Bus

Benefit.'iofCleanSchool
Buses

PreparelorCleanSChoolBus
Funding
Charging and Fuel ing
lnfrastructureRerources

Online Rebate Application
Information: Clean School Bus
Program
Onth i5 p1ge :

• Wbocan 5ubmit ao apllli....ali.lrn
• Wbat io{9CJDatinodolnw:ltornmaletetheapl2li.J:.1.ti2al
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• \/ser Guideandother ap ~

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After reviewing this page, click here to
access the application form

Who can submit an application?
1.Reviewthe ~ g ~ pageand2022CleanSchoolBus(CSB)Program

Guidepostedtheretodetermineilyourorganizationiseligibletoapply.
2. Check the System for Award Management {SAM.gw,: Blil) to ensure your organization is

aclively registeredasanentity
a.Note:AnindividualuseraccountonSAM .govisnotthesamethingasanorganization's
entity registration
b.ReviewallSAM.goventityregistrationinformationforaccuracy,includingbankaccounts.
addresses, the Uillll.llf...f.nill.yJdmtifier_lU.EJ)l!!ll,andPoin tsofContact
c.llyourorganizationhasnorecordolasam.govregistration,e~piredoractive,andneeds
tocreateanewregis1ration,thesimplestentityregistrationtypethatcanparticipatein
theCleanSchoolBus Rebatesisthe "Fedl.'falAssilitanceAwardsOnly"registration.
3. Onl y individuals with email addresses listed as one of the following Points of Contact (POC)
under ar1activeSAM .gov entityregistrationwiUhaveaccesstocreate,edi t,save.andsubmit
aCleanSchoolBusRebateapplication:
a.ElectronicBusinessPOC
b.AltemateElectronicBusinessPOC
c.GovernmentBusinessPOC
d. Alternate Government Business POC
4. Individuals listed as SAM.gov POCs will be prompted to use login.gov when accessing the
application form. They must use the same POC email address listed in SAM.gov for their
login.govaccount.Oependingon whethertheyhaveusedlogin.govbefore,theymaybe
promptedtocreateafreelogin.govaccount.

What information do I need to complete
the application?
Beforestartingtheapplication,itishelpfultohavethefollowinginformationathand:
1.The12-characterSAM.gov JJ.EJ lml foryourorganization.lfyourorganization'sactive
SAM.gov entity registration includes multiple bank accounts, you wilt also n~ to know the
4-digitElectronicFundsTransfer (ER) lndicatorassociatedwiththebankaccount youwant
lundstobedisbursedto.
2.lfapplyingforlundingtoreplacebusesownedandoperatedbyaprivatefleetservinga
schooldistrict;thename.address.andcontactinformationforthatprivatefleet.
3. The 7-character Nation al Center for Fd11cation Statistics /NCES)..llli1Iit1.10 ml associated
with the school district served by the buses that will be replaced and contact information for
anindividualatthatschoo1district.TheNCESDistrict1Dforschooldistrictsprioritizedfor
lundingcanalsobefoundinthePrioritizedSchoolOistrictlistpostedhere.
a. lftheschooldistrictisacharterschool,youmaybepromptedtoinputanestimateofthe
studentpovertyrate.Seesection2ofthe2022CSBProgramGuideformoreinformation.
4.tnformationontheoldbusestobereplaced . llyouhavecompleteda ~
~
(.ili.!), itmaybeusefulinthisprocess. 5ection3olthe2022CSBProgramGuidedetails
theel igiblerequirementsforoldbuses.
a. 17-characterVIN(PleasedoublechecktheVINforaccuracy)
b.Manufacturer,model.fueltype,andvehiclemodelyear
c.Estimatedaverageannualmileageandluelconsumption
d . GrossVehicleWeightRating(GVWR)inpounds
e.Scansofbustittesand,ifrequiredinyourstate,registrations.Allowablefiletypesinclude
pdf,png,jpeg,andjpg
S.lnformationonthenewreplacementbuses:
a. EstimatedGVWRinpounds
b.Fueltype:Fueltypesthatcanbeselectedfornewreplacementbusesmaybelimited
basedonthevehiclemodelyearandfueltypeenteredfortheoldbustobereplaced.See
Section3ofthe2022CSBRebatesProgramGuideforbusetigibilityrequirements.
6.Primaryandaltematebusinesscontactsforyourorganiz.ation.

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5

1.2

Applicant Login

Select “Sign in”.

Clean School Bus

CONTACT US

Clean School Bus Rebate Forms: Applicant Login

.

Click the Sign in button below to login to the Cleon School Bus Rebate Dash boo rd using Login.gov.

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9
1.3

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1.4

Terms of Service and Privacy Policy

Select “Agree” to continue.

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laws, directives, and other federal guidance for accessing this Government system, which
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Login.gov Account

If you have a Login.gov account with a POC email address listed
in your organization’s SAM.gov entity registration, enter that email
address and password and select “Sign in”, then skip to Step 2
Create/Edit a New Application. Otherwise, select “Create an
account”.

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1.6

Create Your Account

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Enter your SAM.gov POC email address, select your language
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Email Confrmation

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1.9

Create a Password
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Create a strong password
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1.10 Continue Once Password Created
Select “Continue” once you have entered a password.
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1.11 Authentication Methods
Select one of the fve authentication methods, then select “Continue”.
The following steps in this guide will only walk through the “Text or
Voice Message” option, but you can use the option that best suits
your needs.

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Authentication method setup
Add WW>l'l@r lay@l"of SKll.lnty l:Jy US.l"IS on@of
aut"lr!IICAt.ion op1tonl btlow

th@

l"'ILAti•flCIOf

Se-curity k•y
A pl'lyi,cal de-.iu. often &ti~ like• USB
dnve l'ial)'OUpl.ug1ntoYQ1Mct.ince

Government Employu ID
PtV,'CAC card"$ for so-.-erM"lltnt arod md,tery
t'"l"-9,0yVU Desktop on;.y

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Aut hentkation Application
Oownl01d or use an a ... ti•rt catlO!l app o'
your choice 10 gt'l"\e~ate secure 00de-s

Text orVo,ce Men age
R.c•rve • 1.cure c:cd• by (S YSl text or
phone ca.I to your d.-"o. Do not uH wet.­
based (V01P, p.'IOl'I• s...-.:n or pt'e!T'AUl"'I
rate lto,;I) phone NJmbra

SackupCodu

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10

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A list of IOc:ode-s youclt'I print or s■•AJ to
yourdev,:e Wnen)wuze the l~t c:ode,
Y1rew1ll gui.rate ■ rwN List KHp 11 r,,1nd
b ■c.:up c:odn-1'e usy to tow

1.12 Authentication: Phone Number

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Enter a phone number, select a preferred delivery method (text or call),
and select “Send code”.

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Send your security code via text
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emered a landl1ne. please select -Phone caU- below

o Text messaee (SMS)

0 Phonecall

Send code

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1.13 Authentication: Security Code
Enter the security code you receive and select “Submit”. Select “Remember this browser” if you do not want
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~ese taseo.r"iycoaeto
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1.14 Login.gov Account Created
Select “Agree and continue”.
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EPA ProdUili-,r R~S.C' Al;Qlic.a1ion 1-ifarri;itio'l

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@r4

Edit Your Rebate Application
Application ID: 627962bf54bo56ddlf3f7b37

0 of 6 Welcome

Welcome!
T1hs lo1m:, D'A'S clig,blc sr.hool diW1m;Kd<' this farm, you w II need th: following inform.1tion:

The pt '1'1.3ty and :,[trrn:ite coribd ir-to,nut ion fc, your otpn .:at ion.
The N-,ti,on.,\Ccntrr 101 [ducation S.ttti:.tia !NCCS.J Oiwic1 tO.1nd can~ct inform:ition for the :.thool dist1ict th:tt the 1epl:i~ment bUU"S would serve.
If :s priv.:itc nm owns ,11r1d ope1:ite.s the. school b.l!.e.:. being•~. the ncc1 n.:ime, :sddtc-:u, .1nd cantxl infotm.3 on lot the Pf Y.l!e ~et.

lr.loun,1t,on .1bo1..t the old ~ool b.1:.e.:.beingrcpL:,ccdindudinglhrVIN, r'l.!f'luf:tctw-c,, ve~~ mochd, vehicle model year,.::ir.~u:il mileaEC, .:ir,nu:tl fuel canwmpt,an, fuel t)'?(.', .llndgro:c.

vehdc..,.-eght r:tting iGW,:t- .
lm:t&"C5 of thevt:hide t 1'6 ;ind rc-g!.t r,1 on!. lar the ~ides ~ngrepl:iad '.:tc.ceptcd form:tU :ire PDf, J [G, PNG. :t,,d.JOG1.
lrloun:rt.i on .1bot.t the ~opo!.ed new rcp,:ic:cment school buses nclud.ng the fuel type .xid GVWR.
Tos:tvr

Y°"' wetkonthe forrn.)1)U must scicct the '"S,,n,cM 01 MNw· bunoo. YouY.~11 thm bc~icto re.oturn l.3:er to finishyo,ir :ip

c.1ticn .,.~thout lowig inform:ition.

To subm t your .1p;>lic.JlJ.on to CPI!.. comp etc .111 :tpplic.:iton screens :tnd then sign .1nd ~bmit the form. You~ :tpp.ic., on st:tlus is .tl/.3

b.c on the :tp ·e.1r,t d.1s.hbmrd. Note: Only

Government Bu:sine~ !.x1d .1lte1n3tcsl .1nd [.-cc.tronic eu:s;ne~ /.x1d :tltern:1161 PbiiibofCont;,ct from SA.\f r:nc:in .x.cr..sthedashbo:ml. Yo.1 :mdthe Prim..>:ry .x1d/0t Aitcrn~e Ccnt:tcts will
.sJ.SO riec.e,vc :t

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~bmiu.:il cm;,il confi 1rrution. [PA will ,evie-N yo;,,11 :tp ·C.11.JOO .11'tc1 the :tppite.!ltion :si..bmo.l.s.icn pc,;oc:t da:.o..

J\'.-rftyrotr
Priorw~ O

School District Contact Information
Name €) ·

T,tte ·

Business Pho ne Nu mber ·

I. .I
Busimess Email '

NOT£: Use of rhe browser back,fonvard, or refresh buttons will result in loss of !A'Ork. Please navigate using rhe burrons ar the borrorn of rhe
form.

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2.10 NCES District ID
You can look up your NCES District ID here: https://nces.ed.gov/ccd/districtsearch/. Enter one or more
identifers for your district and select “Search”.

I Es ·:.. NCES

NatlonalCenterfor
Education Statistics

~=

=MENu

~ ~

:'\CES District ID :

SEARCH TIP: If

you are haYing
~ - - - - ~ difficulty finding
Strttt .\ddrts.s:
City: ~
your school. try only
~ - - - - - - - - - - ~ ~ - - - - - - - ~ entering the city,
state, and/or a key
word in the name.
-Ally State jMia mi

SEARCH TIP: Use the

Additional Characteristics

:addition.al characteristics

fields in conJunction \\ith
any of the Diwict

Di.m i(t Typt.s:
" regular

" component

" supef"•isory union

r'Jl regional

r.iil statt

ra riederal

r'.iii charttr

ei other

~um ber ofS1udents:

Information.
Additional Characteristics
should no1 ~ wed 1f you
ha.-e alrudy tt.tered the
name of a school distnct.

;\umber of Schools

~ - - - ~ l or more v I

c==JI or more v I

Source: CCD public school district data for the 2020-202 1 .school year

2.11 NCES District ID: School District Selection
Select the correct school district.

(513)S99-2264

Little ~liami Local

Wa."!'!nCowiry

4,86S

95 :E Us HaJh,\n~- 22 And 3, ~Im.,nille, OH 45039

~n.t.,n

~109

26XontMain,~~OK "435-I-

~liami County ESC
1,329

:\liami East Local
3S25 X Sat~ Routt 5S9, Camowu, 0 ~ -H 312

"

~liamiElem
-400 >-"en· Mim:.1 L m e, Collrad, ).IT 5942.5

!95

~11.-\.,IIISD
PO 3OX 36S, ).tl..-\..\Ii, TX · 9059

~11.-\.,IIR-I

(660)26 -•34!4

BamCour.~ -

!SO

- 63S !\"'\V STATE RO'u"'TI I, A..\IOR.ET, MO 64-22

~11.-\.,IIR-I

60

3-4520X !-COH\\'.AY-41 , ~\U,MO65344
("40)335-3010

~liami Tract Local

Fayette c ~ -

2, 53 !

3SlS Sutt Rou:t ·H !\\\~ i\".a.llurlftor.Coun HOUlt, OH ~3160
ir•

939

~liami t:nifitd District (4211)
PO BOX 20 -0, MIA.\il, AZ SSS39
(93 '"')294-4522

),Jo:11=:omuy

c~(9Jls:;-.--s1

~liami , ·alley Catter Tech

l4S0XE 2)iD A\"E • 912, ?\nA..\ll,

14

n

).lo:::gomuy
Coumy

6SOO Hoke Rd, E.c.:!twood, OH 45315

~n.t.,n-D.-\DE

125

(305)995-1000

),.lw::::Li-d.Jdt
Coumy

Cl9)4 - S·2206

El Paso Coun~ -

33132

~liami-Yoder Joint District ;\o, 60 of the counties
ofEIPas

334,26 1

lid

:?-19

-HOS RUSH RD, RUSH, CO SOSB
b

~liamisburg~:
540 L. Puk:At·t, ?..hm.uburt, OH ~5342

(93'"')S66-33Sl

).lc:i.1101:imy

c~-

Page I of2

•
22

4,936

10

1 - 15 Next >>
Source : .C..CR public: school dis:crict data for the 2020-2021 school year

2.12 NCES District ID: Seven Character Number
Your seven character NCES District ID will be displayed at the top of the district information summary screen.
Return to the rebate form and enter your NCES District ID. Most of the school district information will then be
autoflled. In some cases, you may need to fll in information because it is not available from NCES. The form
will highlight any required felds that are not flled out.

Dist rict Name:

l'iCE S District ID :

State District ID:

MIAMI-DADE

1200390

FL-13

schools for this district
:M ailing .-\ddrtss:

P h~·sic.al Address:

P hone:

1450 i\"E 2nd A,·e "9 12
Miami, FL 33 132-1308

1 ➔ 50

:\"E ?ndAYe = 912
Miami, FL 33132-1308

(305)995- 1000

Type :

Starns:

Total Schools:

Local school district

Open

516

Supenisory Union #:

Grade Span: (grad" PK - 12)

KIA
\\"ebsite:

!ll!P.:: ,nn,·.dadeschools.net

District Demographics:
School District Demog~~hic Dashboard

District Details (2020-202 1 school year; Fiscal data from 2018-2019)
Characteristics Staff Fiscal
Co unty: • ·liami--dade County

Local,: Suburb: Large (21 )

Show All

Count)· ID: 12086
Total Students:
Classroo m Teachers (FIT) :
Srudent/feacher Ratio :

334,261
16,758.00
19.95

:'\OTES

2.13 Estimated Student Poverty Rate
Most school districts will be automatically identifed with their prioritization status as “Yes” or “No” in the
“Prioritized” feld. However, in some cases, as seen in the screenshot below, the “Prioritized” feld will display
“Self-Certify”. If this displays, the applicant must input an “Estimated Student Poverty Rate”. See Section 2
of the 2022 CSB Rebates Program Guide for more information on prioritization and estimating the student
poverty rate.
City •

StateorTerritoryO •

ZipCodeO •

I WAS HINGTON

I DC
I
~-------------------------~

i

20037

Estimated Student Poverty Rate O ·

I
Enter Oto 100 percentage poverty rate

....
....

Prioritized 0

I Self-Certify

I

School District Contact Information

Complete the School District Information screen by entering contact information for a representative of the
school district and selecting “Next” to continue.

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23

2.14 Bus Information

.,,.

Use this screen to enter the information on the old and new buses. Select the “Add Bus” button to begin.

M:*l .1 1fr:: ·H·

I

Edit Your Rebate Application
Application ID: 627962502ccfa7439d62a5ac

0

of 6 Bus Information

m
f.'otC':' B~ol'C' ,:,nrc-,i.r1g oJd and nie-;1· bi.-:t information, be sure to ,cvi-n-, the btl.s c!ig:b,Ji"ry rrqi.,fffTlrn-b in Se-dia... J of the JtUJ C5B Rtbart:.s P1ogram Gi.Tde- pmtrd ht:1,:;
t!,•p1· wwY,· t:"P.!!9D• r.'t<0ro.srJioo1txJ~ '-Cl,r.J fxJ'. rrtaatt"i t:.'«1rt •.d-,oo' ~· P.''19,tC'T't. 'rou can C'nt~ rf\lot'mat,0.'1 frN up to 15 old bu~.s robe 1,:,p(oud and 15 nn-, tt."plo~~ bu~.s.
Btn lnlorm::ition •

....

VIN

M:anuf.acturer

Modd

Modet Ve.ar

Ave rageAnnu:11 Miln;c

Average Annual Fuel
Co nsu mption (p llons)

~

Fue l Type

GWIR

Atbdi tit k ~ d
rqi.stration of bus.

Acpbume:nt Fuel Type

Rc pbci:mcnt BusGVWR
(lbs.)

Ychid c Rcb;,t cAmou nt
Requested

f\otC':' P'roJ.r .stt }'(,,il Ck-an SmcoJ Bw tkbcte-s Ptogrom G.t,idt- for app.\"c.ab1c mfrm.:ruct1.,rr funding that may be O'l,'!Moble,

I

•
24

l\·o-rr.: Use of rht broMlscr back, JON.vmJ, or n:Jresh buuons "-111 result m loss of work. Pl rose nm'igatc usmg the buttons ar the boltom of lhc
form.

-

2.15 Bus Information: Data Entry
Provide the requested information for
each bus using the data entry boxes
and drop-down menus. Make sure the
Vehicle Identifcation Number (VIN) has
exactly 17 alphanumeric characters and is
accurate. Attach a fle with a scan of the
title and registration (if required in your
state or territory) for each old bus using
the drag-and-drop feature or “browse” link.
Allowable fle types include pdf, png, jpeg,
and jpg. Files must be 5MB or smaller
to upload. Then select the fuel type and
GVWR of the corresponding replacement
bus. The vehicle rebate funding amount
will be flled automatically. Select the
“Save” button above the “Add Bus” button
to save the information for each individual
bus replacement.

MI 11:1
Edit Your Rebate Application
Applia.tion lD: C>l796l502cd1t7439d624;ac

O ct& Bu.s lnto rfNtJon

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....

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•
25

2.16 Enter Multiple Buses
You may select “Add Bus” to continue entering information for another vehicle. You may enter information for
up to 25 old buses and their corresponding new replacement buses. Click “Next” to continue. The Total Vehicle
Rebate Funds Requested feld is automatically calculated based on the sum total of funds requested for each
bus. Please see the 2022 Clean School Bus Rebates Program Guide for applicable infrastructure funding that
may be available.
Note: Fuel types that can be selected for new replacement buses may be limited based on the vehicle model
year and fuel type entered for the old bus to be replaced. See Section 3 of the 2022 CSB Rebates Program
Guide for bus eligibility requirements.

Mr*/1.tfal:: -E
Edit Your Rebate Application
Application ID: 627962502cda7439d62a5ac

8

of 6 Bus Information

Ill
A'oJt'; Belo~ t'nr~• 1'1g

oJd and nc-"· bin infrxmc1:0rr, be sure totei.-lew lhrblls cfig:tJJity req11,Tcr.u!nO ;n,,SectionJ of the- i;U CSB P.t!.bate~ P1ogrc:n G1.ide poltt'd ~tt';

. t ! J ~ P . £ga;b 'ct ion •

M:,nufactul'ff

VIN

Model Ve ar

Ave:~g,c Ann u al Mile.JJ;C

Avenge Annu.11 F! ucl
(oruumptio n (pitons)

GVWR

Att:,ch tit le- M d

Aepbc.cmc! nt 8usGVWR
(Du .I

Vehicle Reb:,tc Amount
Re-quested

l S90

10000000

Clrct, ·c.

!,(lMYmI, or refresh buuons i.1/l resulr ,n loss of i.otk Please nal'igare usmg the but cons or rhc bouom of the
form.

.

•
26

1111

Ill
Pmi ou,

2.17 Value Ranges
If missing or out of range values are detected, they will be highlighted for your attention. Make any required
changes and select “Save” before proceeding.
Replacement Bus Information
Replacem ent Fuel Type Q ·

I

Electric

X •

I

Note: Fuel types that can be selected for new replacement buses may be limited based on the vehicle model year and fuel type entered for the old bus to be replaced. See Section 3 of the
2022 CSB Rebates Program Guide for bus eligibility requirements.

Replacement Bus GVWR (lbs.) 9 ·
Replacement Bus GVWR (lbs.) cannot be greater than 60000.

Isooooooooooo

I

Note: Enter escimaced Gross Vehicle Weight Racing (GVWR) in pounds (lbs). GVWRs of 26,001 lbs. or greater ore offered more funding per bus.

Funding
Vehicle Rebate Am ount Req uested

I

S250,000.00

I

Note: Automatically filled based on Replacement Bus Fuel Type, Replacement Bus GVWR, and prioritization status of school district per 2022 CSB Rebates Program Guide.

•
27

2.18 Review and Sign Application
To complete your application, you must read and agree to the certifcation statement on this page, sign, and
click “Submit Form”. You may want to use the “Previous” button to review the entirety of the application
before proceeding with submission. The “Name” and “Title” felds on this page are autoflled for the individual
that initiated the form based on their SAM.gov POC information. If a different user wants to sign and submit
the form, they must also be a SAM.gov POC for your organization and will need to use login.gov to enter the
Clean School Bus Rebate Forms site to complete the application that was saved as a draft. In this scenario,
they must edit the “Name” and “Title” felds to show their own full name and title before signing and
submitting.
The submitter will receive an email confrming receipt of the submission with an application number. Please
save this information in case you need to contact EPA to revise your submission.

ti:*! ' Fl: I
Edit Your Rebate Application
Application ID: 627962502ccfa7439d62asac

0

of 6 Review and Sign

m
Thc:o i,ov,du.i. lllt«i bdO'tlll n, 11:.1 ~n .-nd )1.1.!)m,1tho 1 1 p ~ beorr it will be: c.oraid,m:d lor fi1nding by UN: (Pil. 11you do noc Nw the :it,1thori1yco~gn lhis•pe>'Gtion. thffl notJyttN:
:i11thcui«drepui:.ertt:1tive'° theyun sign 11ncl wbmit theapp:icat,on. Note-:lhr.Ji.thorueedrc,,,rsent,tiwn,IAI be-reg,.l,le,~ .ue-ther the CiFile Typeapplication/pdfFile Title2022 EPA Clean School Bus Rebate Forms: Application User Guide (EPA-420-B-22-026, May 20, 2022)SubjectBipartisan, Infrastructure, legislation, BIL, clean, zero, emission, ZE, school, bus, replacement, program, CSB, fund, grant, edAuthorU.S. EPAFile Modified2022-06-03File Created2022-05-19