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Grantee Reporting Requirements: Forms and Templates
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On This Page
Getting Started with your EPA Brownfields Grant
- Grantee Guideline to Key Tasks and Concepts (2008) (PDF) (49 pp, 305K). Document reviews basic process and requirements for EPA Brownfields Assessment and Cleanup grants.
- Assessment Grants Process flow chart (PDF) (1 p, 23.6K).
- Assessment Grant check list (PDF) (2 pp, 57.7K)
- Cleanup Grants Process flow chart (PDF) (1 p, 27.2K).
- Cleanup Grant Checklist (PDF) (3 pp, 63K).
- Due prior to use of grant funds on specific property (PO approval required).
- Submit to your PO.
- Instructions for filling out form (PDF) (4 pp, 43.3K)
- Questionnaire for Hazardous Substance sites (MS Word, 67.5K)
- Questionnaire for Petroleum Sites (MS Word, 69.5K)
Quality Assurance Project Plan (QAPP) Template
- Quality Assurance Project Plan (QAPP) Template (PDF) (25 pp, 72.3K)
- Due at least 30 days prior to the initiation of the first project activity involving the collection of environmental samples (PO approval required).
- Submit to your PO.
Site Specific Sampling and Analysis Plan (SAP) Template
- Site Specific Sampling and Analysis Plan (SAP) Template (PDF) (33 pp, 206K)
- Due at least 30 days prior to the initiation of each site sampling and analysis investigation (PO approval required).
- Submit to your PO.
Reporting
- Quarterly Progress Report Templates
- Due on a quarterly basis: Jan 30, April 30, July 30, October 30
- Submit to your PO.
- Assessment, Cleanup, RLF (PDF) (2 pp, 44.7K)
- Job Training (PDF) (4 pp, 40.1K)
- Property Profile Form
All grantees are strongly encouraged to submit Property Profile forms via ACRES (Assessment, Cleanup, and Redevelopment Exchange System)
- Current Users—Login to ACRES via Central Data Exchange (CDX)
- New Users—Register for ACRES with CDX
If you are unable to submit the Property Profile form via ACRES, you may fill out, print, and submit the following form to your PO:
- Property Profile Form With Instructions (PDF) (11 pp, 207K)
- Property Profile Form Without Instructions (PDF) (4 pp, 99.8K)
- MBE/WBE Reports (under old MBE/WBE Program for grants awarded prior to May 2008)
- Government Entities (For PART 31 Recipients) due on a quarterly basis: Jan 30, April 30, July 30, October 30
- Non-Profit Entities (PART 30 Recipients) due on an annual basis by October 30th of each year
- Submit to Romona McQueen [link to MAILING ADDRESS at end of doc]
- EPA Form 5700-52A Minority-Owned Business Enterprises/Women-Owned Business Enterprises Report (PDF) (5 pp, 62.5K)
- View a Completed MBE/WBE Form (PDF) (2 pp, 186K)
- MBE/WBE Reports (under new DBE Program for grants awarded after May 2008)
- Government Entities (PART 31 Recipients) due semi-annually—October 30th and April 30th
- Non-Profit Entities (For PART 30 Recipient) due on an annual basis by October 30th of each year
- Submit to Romona McQueen [link to MAILING ADDRESS at end of doc]
- MBE/WBE Reporting Fact Sheet (PDF) (2 pp, 64.2K)
- MBE/WBE Certification Fact Sheet (PDF) (2 pp, 69.1K)
- DBE Program Overview Fact Sheet (PDF) (4 pp, 95.1K)
- EPA Form 5700-52A Minority-Owned Business Enterprises/Women-Owned Business Enterprises Report (PDF) (5 pp, 62.5K)
- Subcontractor Participation Form 6100-2 (PDF) (2 pp, 95.9K)
- Subcontractor Performance Form 6100-3 (PDF) (2 pp, 100K)
- Subcontractor Utilization Form 6100-4 (PDF) (2 pp, 99K)
- Federal Cash Transaction Report (FCTR) SF-272 (PDF) (2 pp, 21.9K)
- Due annually by January 15
- FCTRs can be faxed (702-798-2423) or mailed to:
Peter Puglisi
US EPA
Las Vegas Finance Center
PO Box 98515
Las Vegas, NV 89193-8515
Peter Puglisi (puglisi.peter@epa.gov) can be reached at 702-798-2426
- Single Audit Report (required from recipients that expend $500,000 or more in total Federal funds from all Federal awards in a fiscal year)
- Due within nine months after the close of the fiscal year or 30 days after receiving the report from the auditor to:
Federal Audit Clearinghouse
1201 E. 10th Street
Jeffersonville, IN 47132
- US EPA Payment Request Form 190-F-04-001 (PDF) (1 p, 26.1K)
- Payment Requests can be faxed (702-798-2423) or mailed to
Peter Puglisi
US EPA
Las Vegas Finance Center
PO Box 98515
Las Vegas, NV 89193-8515
Peter Puglisi (puglisi.peter@epa.gov) can be reached at 702-798-2426
Closeout reports must be submitted no later than 90 days after the end of the cooperative period of performance. All forms except Progress Reports and Property Profile forms should be submitted to Kathleen Blinebury. The following must be submitted:
- Final MBE/WBE Reports (for grants awarded prior to May 2008)
- Final DBE Reports (for grants awarded after May 2008)
- Final Lobbying and Litigation Certification
- Final Progress Report
- Assessment, Cleanup, RLF (PDF) (2 pp, 146K)
- Job Training (PDF) (4 pp, 40.1K)
- Final Property Profile Form
All grantees are strongly encouraged to submit Property Profile forms via ACRES (Assessment, Cleanup, and Redevelopment Exchange System)
- Current Users—Login to ACRES via Central Data Exchange (CDX)
- New Users—Register for ACRES with CDX
- Property Profile Form With Instructions (PDF) (22 pp, 207K)
- Property Profile Form Without Instructions (PDF) (4 pp, 99.8K)
EPA Contact (Mail code)
U.S. EPA
1650 Arch Street
Philadelphia, PA 19103-2029
EPA Contact Mail Codes:
Your Brownfields Project Officer: 3HS51
Romona McQueen: 3PM00
Kathleen Blinebury: 3PM70