Information Collection

Biorefinery Assistance Program - Business

IC 187015 under ICR 200902-0570-006 · OMB 0570-0055.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD 1047 Biorefinery Assistance Program - Business	Form
RD 4279-1 Application for Loan Guarantee RD4279-1.pdf	Form
AD 1047 Certification Regarding Debarment, Suspension, and Other AD1047-F-01-92.pdf	Form
RD 400-1 Equal Opportunity Agreement RD0400-0001_000500V01.pdf	Form
RD 400-4 Assurance Agreement RD0400-0004_970300V01.pdf	Form
RD 449-30 Guaranteed Loan Report of Loss RD0449-0030_071100V08.pdf	Form
RD 1980-19 Guaranteed Loan Closing Report RD1980-0019.pdf	Form
RD 1980-41 Guaranteed Loan Status Report RD1980-0041.pdf	Form
RD 1980-43 Lender's Guaranteed Loan Payment to USDA RD1980-0043.pdf	Form
RD 1980-44 Guaranteed Loan Borrower Default Status RD1980-0044.pdf	Form
RD 4279-3 Conditional Commitment RD4279-0003_080700V04.pdf	Form
RD 4279-4 Lender's Agreement RD4279-0004_061100V05.pdf	Form
RD 4279-6 Assignment Guarantee Agreement RD4279-0006_050700V03.pdf	Form
SF LLL Discclosure of Lobbying Activities SFLLL.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD 1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters	AD1047-F-01-92.pdf	Yes	Yes	Fillable Printable
Form	RD 400-1	Equal Opportunity Agreement	RD0400-0001_000500V01.pdf	Yes	Yes	Fillable Printable
Form	RD 400-4	Assurance Agreement	RD0400-0004_970300V01.pdf	Yes	Yes	Fillable Printable
Form	RD 449-30	Guaranteed Loan Report of Loss	RD0449-0030_071100V08.pdf	Yes	No	Printable Only
Form	RD 1980-19	Guaranteed Loan Closing Report	RD1980-0019.pdf	Yes	Yes	Fillable Printable
Form	RD 1980-41	Guaranteed Loan Status Report	RD1980-0041.pdf	Yes	No	Printable Only
Form	RD 1980-43	Lender's Guaranteed Loan Payment to USDA	RD1980-0043.pdf	Yes	Yes	Fillable Printable
Form	RD 1980-44	Guaranteed Loan Borrower Default Status	RD1980-0044.pdf	Yes	Yes	Fillable Printable
Form	RD 4279-3	Conditional Commitment	RD4279-0003_080700V04.pdf	Yes	Yes	Fillable Printable
Form	RD 4279-4	Lender's Agreement	RD4279-0004_061100V05.pdf	Yes	Yes	Fillable Printable
Form	RD 4279-6	Assignment Guarantee Agreement	RD4279-0006_050700V03.pdf	Yes	Yes	Fillable Printable
Form	SF LLL	Discclosure of Lobbying Activities	SFLLL.pdf	Yes	Yes	Fillable Printable
Form	RD 4279-1	Application for Loan Guarantee	RD4279-1.pdf	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	457	210	247
Annual IC Time Burden (Hours)	2,112	1,061	1,051
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.