Region 3's Brownfields Grantee Reporting Requirements: Forms and Templates
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On This Page:
- ACRES Reporting
- All Appropriate Inquiries (AAI) Reporting Checklist
- Closeout
- Getting Started
- Mailing Address
- MBE/WBE Reports
- Payment Request
- Property Approval
- Quality Assurance Project Plan (QAPP)
- Quarterly Progress Report
- Site Specific Sampling and Analysis Plan (SAP)
Getting Started with your EPA Brownfields Grant
Getting Started Documents Page
Property Approval
- Due prior to use of grant funds on specific property (PO approval required).
- Submit to your PO.
- Instructions for filling out form
- Questionnaire for Hazardous Substance sites(5 pp, 69 K)
- Questionnaire for Petroleum Sites(5 pp, 71 K)
Quality Assurance Project Plan (QAPP) Template
- Quality Assurance Project Plan (QAPP) Template
- 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.
All Appropriate Inquiries (AAI) Reporting Checklist
- Signed checklist must be submitted to PO with each completed Phase I report.
- AAI Reporting Fact Sheet and Checklist
Site Specific Sampling and Analysis Plan (SAP) Template
- Site Specific Sampling and Analysis Plan (SAP) Template
- 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
- Job Training
- Cleanup grant recipients are encouraged to submit via ACRES Reporting (see below)
- ACRES Reporting
All grantees are strongly encouraged to submit Property Profile forms via ACRES (Assessment, Cleanup, and Redevelopment Exchange System)- Current Users—Login to ACRES
- New Users—Register for ACRES by clicking "One Time Registration"
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.
- MBE/WBE Reports (under old MBE/WBE Program for grants awarded prior to May 2008)
- Due on an annual basis by October 30th of each year
- Submit to Hana Hyland with a courtesy copy to Tanya Thomas [links to MAILING ADDRESS at end of doc]
- Preferred method is to email a pdf file to R3_MBE-WBE_Reports@epa.gov with a courtesy copy to your PO and the grants specialist (thomas.tanya@epa.gov).
- MBE/WBE Reporting Forms
- Federal Financial Report SF 425
- Submit to:
US EPA
Las Vegas Finance Center (LVFC)
via email(LVFC-grants@epa.gov) or fax (702-798-8423)
Luis Rivera (rivera.luise@epa.gov) can be reached at 702-798-2495
Payment
- US EPA Payment Request Form 190-F-04-001 (PDF) (1 pp, 38 K,)
- Payment Requests can be faxed (702-798-2495) or mailed to
Luis Rivera
US EPA
Las Vegas Finance Center
PO Box 98515
Las Vegas, NV 89193-8515
Luis Rivera (rivera.luise@epa.gov) can be reached at 702-798-2495
Closeout
Closeout reports must be submitted no later than 90 days after the end of the cooperative agreement period of performance. The following must be submitted:
- Final MBE/WBE Reports (to Cynthia Burrows and Tanya Thomas)
- Final Lobbying and Litigation Certification (to Tanya Thomas)
- Final Progress Report (to your project officer)
- Final ACRES Reporting
- Final Federal Financial Report (To Las Vegas Finance Center)
Mailing Address:
EPA Contact (Mail code)
U.S. EPA
1650 Arch Street
Philadelphia, PA 19103-2029
EPA Contact Mail Codes:
Your Brownfields Project Officer: 3HS51
Cnythia Burrows 3DA10
Tanya Thomas 3PM70