Information Collection

49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize

IC 26517 under ICR 201305-2132-001 · OMB 2132-0500.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2132-0500 can be found here:

Documents and Forms

Document Name Document Type
Form SF 424 49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize Form and Instruction
Sample TEAM Screen Shot- Application and Project Management.pdf Other-TEAM screen shoots
SF 424 Application for Federal Assistance SF424 Application and Instructions.pdf Form and Instruction
SF-424 Application for Federal Assistance Sample Application and Authorizing Resolution - 5310 and 5311.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 18 49 CFR 19

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF 424	Application for Federal Assistance	SF424 Application and Instructions.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF-424	Application for Federal Assistance	Sample Application and Authorizing Resolution - 5310 and 5311.pdf	Yes	Yes	Fillable Fileable Signable
Other-TEAM screen shoots			Sample TEAM Screen Shot- Application and Project Management.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 178	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	178	71	107
Annual IC Time Burden (Hours)	20,882	9,214	11,668
Annual IC Cost Burden (Dollars)	0	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.