Closing Your Agreement

This guide is intended to facilitate closeout of assistance agreements. All applicable forms or reports must be submitted within 90 days of the project/budget period expiration date.

Forms may be found on the Reporting Forms web page.

Final Financial Status Report and Final Payment Request

The short form Financial Status Report (FSR, SF 269A) must be submitted in accordance with the terms and conditions in the Assistance Agreement. If you need to report program income, please submit the long form FSR (SF 269). Both forms are available at the website listed above. The final FSR and payment request are due no later than 90 days after the end of the project/budget period and must be submitted to: U.S. EPA, LVFC, POB 98515, Las Vegas, NV 89193-8515. For more information or to have the FSR form faxed to you, please contact: Sharen Rheinhardt, LVFC, Phone: 702-798-2471, Fax: 702-798-2423, email: Rheinhardt.Sharen@epa.gov

Final Technical/Performance Report

The final technical/performance report must be submitted to the EPA Project Officer listed on the subject agreement in accordance with the terms and conditions in the Assistance Agreement and the approved work plan. For content of the Final Report refer to 40 CFR 30.51(d) or 40 CFR 31.40(b)(2), whichever is applicable. For questions regarding content of the Final Report, please contact the Project Officer.

Minority/Women's Business Enterprise Utilization (MBE/WBE) Report

The MBE/WBE report (EPA Form 5700-52A) is required if any funds were expended for supplies, equipment, or contractual services during the life of the assistance agreement. The final report should include only those expenditures that were not previously reported. If no funds were expended during the time period of the last report, a negative report is required. Two copies of the completed and signed report must be submitted to: U.S. EPA, Office of Civil Rights, Region 4, Atlanta Federal Center, 61 Forsyth Street, S.W., Atlanta, GA 30303-8960. For more information, please contact: Josephine Brown, EPA Region 4, Small and Disadvantaged Business Utilization Coordinator, Phone: 404-562-9634, email: Brown.Josephine@epa.gov

Lobbying & Litigation Certification

EPA Form 5700-53 is required at the end of the grant period to certify that no federal assistance funds were used to engage in lobbying the Federal Government or in litigation against the United States unless authorized under existing law. (Reference: EPA's annual appropriations acts for fiscal year 2000 and fiscal year 2001, PL 106-74, §426 and PL 106-377, §424 respectively). This form must be submitted to: U.S. EPA, Grants and IAG Section, Region 4, Atlanta Federal Center, 61 Forsyth Street, S.W., Atlanta, GA 30303-8960. For more information, please contact the Grants Specialist listed on the award document.

Federal Cash Transactions Report (SF 272)

The SF 272 report is due within 15 working days following the annual periods ending December 31 of any given calendar year. This form must be submitted to: U.S. EPA, LVFC, POB 98515, Las Vegas, NV 89193-8515. For more information contact: Sharen Rheinhardt, LVFC, Phone: 702-798-2471

Form Title	PDF	Word
Recipient Closeout Checklist	Adobe Acrobat	Microsoft Word

For information about the contents of this page please contact Tracy Ward-Martin

Closing Your Agreement

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