04-23-2020
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04-23-2020
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US Environmental Protection Agency OMB Control No. 2040-0292 <br /> WIFIA Program EPA Form No. 6100-032 <br /> Application Approval expires XX/XX/XXXX <br />____________________________________________________________________________________ <br />2 <br />The applicant should reference the supporting document checklist provided on page 4 to ensure all <br />needed information is provided in the application submission. Upon receipt of the application fee and <br />materials, EPA will provide a confirmation email. <br /> <br />Application Form and Attachment Submittal: When finished, the application form and attachments must <br />be uploaded to EPA’s SharePoint site. To be granted access to the WIFIA SharePoint site, the applicant <br />should email the WIFIA Underwriter assigned to the applicant with the names and emails of all staff that <br />need access. <br /> <br />Application Fee Submittal: The applicant should use of Pay.gov to make electronic payments to EPA. In <br />Pay.gov, the applicant can track its payments to EPA and schedule recurring or automatic payments. <br />Although it is not mandatory to register for a user id to access and use Pay.Gov, registration is <br />recommended to have access to all Pay.gov system functionality. To use Pay.gov, follow these <br />instructions: <br /> Access the Pay.gov system by going to https://www.pay.gov and search for WIFIA or click on the <br />following hyperlink to directly launch the WIFIA Loan Collection & Fees Form. <br /> Provide the following information on the payment to ensure proper credit: <br /> Remitter's contact phone number <br /> Company/Organization Name as it appears on EPA document <br /> Complete address, including city, state, zip code <br /> Project Name <br /> Loan Number: this is EPA WIFIA Loan number, NOT the remitter's number <br /> From the “Payment Type” drop down menu select “Application Fee (Fee01)” <br /> Other Description: please enter the EPA WIFIA Loan number followed by -FEE01, for <br />example 16123DC-FEE01 <br /> Follow the remaining on-screen instructions to successfully process the payment to EPA. <br /> Send an email to lvfc-grants@epa.gov and wifia_portfolio@epa.gov informing that a payment <br />has been made. <br /> <br />The application fee may also be paid via FEDWIRE or by check sent to US EPA; Las Vegas Finance Center; <br />4220 S. Maryland Pkwy, Bldg C, Ste 503; Las Vegas NV 89119. For questions about payments, contact the <br />US EPA Las Vegas Finance Center at (702)798-2485 or lvfc-grants@epa.gov. For detailed payment <br />instructions, contact the WIFIA program. <br />___________________________________________________________________________________ <br />Burden <br />The public reporting and recordkeeping burden for this collection of information is estimated to average <br />200 hours per response. Send comments on the Agency's need for this information, the accuracy of the <br />provided burden estimates, and any suggested methods for minimizing respondent burden, including <br />through the use of automated collection techniques to the Director, Regulatory Support Division, U.S. <br />Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include <br />the OMB control number in any correspondence. Do not send the completed form to this address. <br /> <br />
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