Information Collection

49 U.S.C. State of Good Repair Program

IC 208436 under ICR 201609-2132-001 · OMB 2132-0577.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2132-0577 can be found here:

Documents and Forms

Document Name Document Type
State of Good Repair Grant Program Application Instructions.pdf www.transit.dot.gov/sites/fta.dot.gov/files/docs/FTA_Circular_5300_published_02-28-15.pdf Instruction
2016 State of Good Repair Sample Approved Application.pdf Other-State of Good Repair Sample Ap
2016 State of Good Repair Sample Federal Financial Report.pdf Other-State of Good Repair Sample FF
2016 State of Good Repair Sample Quarterly Milestone Report.pdf Other-State of Good Repair Sample Qu
FAST Act Interim Guidance Federal Register Notice.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	49 U.S.C. State of Good Repair Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 18

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	State of Good Repair Grant Program Application Instructions.pdf	https://www.transit.dot.gov/sites/fta.dot.gov/files/docs/FTA_Circular_5300_published_02-28-15.pdf	Yes	Yes	Printable Only
Other-State of Good Repair Sample Application	2016 State of Good Repair Sample Approved Application.pdf		Yes	Yes	Fillable Fileable Signable
Other-State of Good Repair Sample FFR	2016 State of Good Repair Sample Federal Financial Report.pdf		Yes	Yes	Fillable Fileable Signable
Other-State of Good Repair Sample Quarterly MPR	2016 State of Good Repair Sample Quarterly Milestone Report.pdf		Yes	Yes	Fillable Fileable Signable
Instruction	FAST Act Interim Guidance Federal Register Notice.pdf		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 720	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	720	720
Annual IC Time Burden (Hours)	9,120	9,120
Annual IC Cost Burden (Dollars)	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.