State, Local or Tribal Government

Transportation and Climate Division (TCD) Grant Program Reporting Templates: Supplemental Project Application Template and Project Reporting Templates for DERA, CSB, CHD, and CP (New)

OMB: 2060-0754

IC ID: 264500

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

State, Local or Tribal Government
 
No Modified
 
Required to Obtain or Retain Benefits
 
2 CFR 1500 2 CFR 200

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5900-679 G_Clean Ports Supplemental Application Template G_5900-679_Clean Ports Supplemental Application Template_2025.03.28.xlsx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-680 H_CSB Supplemental Application Template H_5900-680_CSB Supplemental Application Template_2025.03.28.xlsx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-681 I_DERA Supplemental Application Template I_5900-681_DERA Supplemental Application Template_2025.03.28.xlsx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-682 J_CHDV Eligibility and Scrappage Statement J_5900-682_CHDV Eligibility and Scrappage Statement_2025.03.28.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-683 K_Clean Heavy Duty Vehicle Project Reporting Template K_599-683_Clean Heavy Duty Vehicle Project Reporting Template_7_2025.03.28.xlsx Yes Yes Fillable Fileable Signable
Form and Instruction 5900-684 L_Clean Ports Scrappage Evidence Statement L_5900-684_Clean Ports Scrappage Evidence Statement_2025.03.28.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-685 M_Utility Partnership Agreement M_5900-685_Utility Partnership Agreement_2025.03.28.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-686 N_CSB Eligibility and Scrap Sell Donate Statement N_5900-686_CSB Eligibility and Scrap Sell Donate Statement_2025.03.28.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-687 O_DERA Eligibility Statement O_5900-687_DERA Eligibility Statement_2025.03.28.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-688 P_DERA Scrappage Statement P_5900-688_DERA Scrappage Statement_2025.03.28.pdf Yes Yes Fillable Fileable Signable
Form and Instruction 5900-689 Q_CHDV Supplemental Application Template Q_5900-689_CHDV Supplemental Application Template_2025.03.28.xlsx Yes Yes Fillable Fileable
Form and Instruction 5900-691 R_DERA Project Reporting Template R_5900-691_DERA Project Reporting Template_2025.3.28.xlsx Yes Yes Fillable Fileable
Form and Instruction 5900-692 S_Clean School Bus Program Project Reporting Template S_5900-692_Clean School Bus Program Project Reporting Template_2025.03.28.xlsm Yes Yes Fillable Fileable
Form and Instruction 5900-693 T_CSB Utility Partnership Agreement T_5900-693_CSB Utility Partnership Agreement_2025.03.28.pdf Yes Yes Fillable Fileable
Form and Instruction PFN5900-720 U_Clean Ports Climate and Air Quality Planning Project U_PFN5900-720_Clean Ports Climate and Air Quality Planning Project Reporting Template.xlsx Yes Yes Fillable Fileable
Form and Instruction PFN5900-721 V_Clean Ports Zero Emissions Technology Project Report V_PFN5900-721_Clean Ports Zero Emissions Technology Project Reporting Template.xlsx Yes Yes Fillable Fileable
Form and Instruction PFN5900-722 W_Funding Program Recipient Story Form 5900-722 funding-recipient-story-form_revised_2025.07.29.pdf Yes Yes Fillable Fileable
Form and Instruction PFN5900-718 X_Clean Ports Scrappage Eligibility Statement X_PFN5900-718_Clean Ports Scrappage Eligibility Statement.pdf Yes Yes Fillable Fileable
Form and Instruction PFN5900-719 Y_Clean Ports Technology Deployment Evidence Statement Y_PFN5900-719_Clean Ports Technology Deployment Evidence Statement.pdf Yes Yes Fillable Fileable

Environmental Management Pollution Prevention and Control

 

2,411 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 804 0 -40 -751 0 1,595
Annual IC Time Burden (Hours) 6,455 0 -265 -5,032 0 11,752
Annual IC Cost Burden (Dollars) 0 0 658,380 -658,380 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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