Training and Technical Assistance (TA) Program for Rural, Small, and Tribal (RST) Wastewater Systems |
OMB Control Number = 2090-NEW |
Expiration Date = mm/dd/yyyy |
General Instructions for Completing this Form |
As per Grant regulations (2 CFR § 200.329), all recipients are required to submit quarterly progress reports to the Environmental Protection Agency (EPA) Project Officer within 30 days after each reporting period. To guarantee timely submission, please send these reports electronically via email to the EPA Project Officer within 30 days after the reporting period (every three months). The reports should indicate the progress made towards the outcomes and outputs of the performance period. Please complete the attached Technical Assistance and Training forms with the requested information to comply with this reporting obligation. Your prompt and comprehensive reports will aid us in tracking progress, ensuring accountability, and maximizing the impact of your work. |
Burden Statement: This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. OMB Control Number: 2090-NEW. Responses to this collection of information are mandatory [2 CFR Part 200]. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 30 minutes to an hour per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division; U.S. Environmental Protection Agency (2821T); 1200 Pennsylvania Ave., NW; Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. |
Training and Technical Assistance (TA) Program for Rural, Small, and Tribal (RST) Wastewater Systems | ||||||||||||||||||||
Appendix A: TA Progress Report | ||||||||||||||||||||
Grant ID #: | ||||||||||||||||||||
TA Activity | Quarterly performance period | Community/System Name (if applicable) | Status | National Pollutant Discharge Elimination System (NPDES) Permit Number | EPA Region | County | State/Territory/Tribe | TA Start Date | TA End Date | Issue/Problem Faced by System | Assistance Type Being Provided | Number of Participants | Participant Role/Title | Topic area(s) covered | Category (technical, managerial, and/or financial) |
Brief description including community needs and milestones | Hours of TA Provided | Serves a disadvantaged, rural, or Tribal community? (Yes/No) | Which group is served (N/A, low-income, disadvantaged, rural or Tribal?) | Method of assistance (on-site, virtual, etc.) |
Training and Technical Assistance (TA) Program for Rural, Small, and Tribal (RST) Wastewater Systems | ||||||||||||||||||
Appendix B: Training Report | ||||||||||||||||||
Grant ID#: | ||||||||||||||||||
Date: | ||||||||||||||||||
Training Activity | Quarterly Performance Period | Date of Training | Trainer's Name | Status | EPA Region where the training took place | Method of assistance (classroom, on-site, virtual, etc.) | Training location | Community/System Name (if applicable) |
National Pollutant Discharge Elimination System (NPDES) Permit Number (if applicable) |
Duration (hours) |
Name of Training | Category (i.e., technical, managerial, and/or financial) |
Brief Description of Topics Discussed | Number of participants in each training activity (or viewcount for webinars/online postings) |
Role(s) and State Affiliation for each participant, if known (e.g., operator, administrator, manager, board or council member, government official, etc.) |
Continuing Education Unit (CEU) Issued (Yes or No) |
Number of Attendees Awarded CEUs | Notes |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |