LGPO Listing of reporting and recordkeeping requirements-revised2

LGPO Listing of reporting and recordkeeping requirements-revised2.doc

Loan Guarantee for Projects that Employ Innovative Technologies

LGPO Listing of reporting and recordkeeping requirements-revised2.doc

OMB: 1910-5134

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This form is available electronically.

U.S. Department of Energy

Loan Guarantee Program Office


Reporting and Recordkeeping Requirements





1. OMB No.

1910-5134

2. Title of Clearance

Guaranteed Loans

Page 1




3.



4.



5.



6.



7.


Annual Burden on the Public

(Col. 8 x 9=10 and Col. 10 x 11=12)

Description

(Title of Form, Report or Record)

Report


Record


Form No.


Regulation

Part/Sec.


8.



9.



10.



11.


12.

Total Burden Hours






No. of Respondents

No. of Reports

Filed Per Person

Total Annual

Responses

(/1)


Average Time

to Respond



Exempt

Non-Exempt

Application Form

 

 

LGPO-08-2


609.6(b)

(1)

16

1

16

0.50

     

8

Project Eligibility

 

 

Supporting Documents

609.6(b)

(4) & (6)

16

1

16

0.50

     

8

State and Local Support

 

 

Supporting Documents

609.6(b)

(29)

16

2

32

1.00

     

32

Project Participants

 

 

Supporting Documents

609.6(b)

(29)

16

1

16

0.50

     

8

Contact Information

 

 

Supporting Documents

609.6(b)

(29)

16

1

16

0.50

     

8

Project Description—Overview

 

 

Supporting Documents

609.6(b)

(5)

16

1

16

2.00

     

32

Implementation Schedule

 

 

Supporting Documents

609.6(b)

(5)

16

1

16

5.00

     

80

Location

 

 

Supporting Documents

609.6(b)

(5)

16

1

16

1.00

     

16

Technology




 

 

Supporting Documents

609.6(b)

(5)



Iic

16

1

16

4.00

     

64

Cost

 

 

Supporting Documents

609.6(b)

(7)

16

2

32

20.00

     

640

Construction Risks and Mitigation Strategies

 

 

Supporting Documents

609.6(b)

(19)

16

2

32

10.00

     

320

Legal Opinions and Material Reports

 

 

Supporting Documents

609.6(b)

(18)

16

3

48

50.00

     

2,400

Status of Approvals

 

 

Supporting Documents

609.6(b)

(22)

16

4

64

2.00

     

128

Engineering and Construction Plans

 

 

Supporting Documents

609.6(b)

(8)

16

1

16

150.00

     

2,400

Operating and Maintenance Plans

 

 

Supporting Documents

609.6(b)

(9)

16

1

16

120.00

     

1,920

SUBTOTALS


     



16

23

368

21.91 avg.


8,064


This form is available electronically.

U.S. Department of Energy

Loan Guarantee Program Office


Reporting and Recordkeeping Requirements





1. OMB No.

1910-5134

2. Title of Clearance

Guaranteed Loans

Page 2




3.



4.



5.



6.



7.


Annual Burden on the Public

(Col. 8 x 9=10 and Col. 10 x 11=12)

Description

(Title of Form, Report or Record)

Report


Record


Form No.


Regulation

Part/Sec.


8.



9.



10.



11.


12.

Total Burden Hours






No. of Respondents

No. of Reports

Filed Per Person

Total Annual

Responses

(/1)

(a)


Average Time

to Respond



Exempt

Non-Exempt

Decommissioning Plan

 

 

Supporting Documents

609.6(b)

(11)

16

1

16

50.00

     

800

Permits and Approvals

 

 

Supporting Documents

609.6(b)

(22)

16

5

80

3.00

     

240

Independent Engineer’s Report

 

 

Supporting Documents

609.6(b)

(19)

16

1

16

50.00

     

800

Environmental Report

 

 

Supporting Documents

609.6(b)

(23)

16

1

16

100.00

     

1,600

Financial Analysis

 

 

Financial Information

609.6(b)

(13)&(25)

16

1

16

40.00

     

640

Market Analysis

 

 

Supporting Documents

609.6(b)

(12)

16

1

16

40.00

     

640

Sponsor Involvement

 

 

Supporting Documents

609.6(b)

(17)

320

(/2)

1

320

1.00

     

320

Contractual Arrangements

 

 

Supporting Documents

609.6(b)

(14)

16

8

128

10.00

     

1,280

Management Plan

 

 

Supporting Documents

609.6(b)

(10)

16

1

16

8.00

     

128

Operational Risks and Mitigation Strategies

 

 

Supporting Documents

609.6(b)

(29)

16

1

16

10.00

     

160

Applicant Statement

 

 

Supporting Documents

609.6(b)

(28)

16

1

16

5.00

     

80

Progress Reports

 

 

Supporting Documents

609.6(b)

(29)

16

10

(/3)

160

4.00

     

640

Sources of Funds

 

 

Supporting Documents

609.6(b)

(13)

16

1

16

1.00

     

16

Letter(s) of Intent from Debt and Equity Financing Sources

 

 

Financial Information

609.6(b)

(29)

80

(/4)

1

80

0.50

     

40

Closing Checklist

 

 

Supporting Documents

609.6(b)

(15)

16

1

16

2.00

     

32

Information on Other Borrowed Funds

 

 

Financial Information

609.6(b)

(17)

16

1

16

1.00

     

16

SUBTOTALS


     



416

36

944

7.87 avg.


7,432

This form is available electronically.

U.S. Department of Energy

Loan Guarantee Program Office


Reporting and Recordkeeping Requirements





1. OMB No.

1910-5134

2. Title of Clearance

Guaranteed Loans

Page 3




3.



4.



5.



6.



7.


Annual Burden on the Public

(Col. 8 x 9=10 and Col. 10 x 11=12)

Description

(Title of Form, Report or Record)

Report


Record


Form No.


Regulation

Part/Sec.


8.



9.



10.



11.


12.

Total Burden Hours






No. of Respondents

No. of Reports

Filed Per Person

Total Annual

Responses

(/1)


Average Time

to Respond



Exempt

Non-Exempt

Collateral

 

 

Financial Information

609.6(b)

(24)

16

2

32

2.00

     

64

Preliminary Credit Assessment

 

 

Financial Information

609.6(b)

(21)

16

1

16

1.00

     

16

Eligible Lender or Holder Statement

 

 

Supporting Documents

609.6(b)

(17)&(26)

80

(/5)

1

80

1.00

     

80

Background and Legal Structure


 

Supporting Documents

609.6(b)

(29)

16

1

16

3.00

     

48

Legal Authority

 

 

Supporting Documents

609.6(b)

(18)

16

1

16

3.00

     

48

Organization

 

 

Supporting Documents

609.6(b)

(29)

16

1

16

6.00

     

96

Prior Experience

 

 

Supporting Documents

609.6(b)

(29)

16

1

16

4.00

     

64

Financial Statements

 

 

Financial Information

609.6(b)

(17)

16

4

64

0.50

     

32

Credit History

 

 

Financial Information

609.6(b)

(20)

16

1

16

0.25

     

4

Litigation and/or Conflicts

 

 

Supporting Documents

609.6(b)

(29)

16

1

16

0.50

     

8












SUBTOTALS


     



96

14

288

1.60

(average)


460

TOTALS

     

     



528

73

1,600

9.97

(average)


15,956



/1 – All figures in Column 10, except for Progress Reports on page 2, are one-time only (not annual) submissions.

/2 – The maximum potential number of respondents assuming that each of the 16 projects has 20 five percent shareholders.

/3 – The figures for Progress Reports assume quarterly submissions over an average period of 2.5 years per respondent.

/4 – Assumes five sources for each of the 16 projects.

/5 – Assumes five sources for each of the 16 projects.


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