Information Collection Request

Repowering Assistance Payments to Eligible Biorefineries

ICR 200912-0570-002 · OMB 0570-0058 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form AD-1048 Certification Regarding Debarment, Suspension, Ineligibility & Voluntary Exclusion - Lowered Tier Covered Transactions Form Modified Available
Form AD-1047 Certification Regarding Debarment, Suspension, & Other Responsibility Matters - Primary Covered Transactions Form Modified Available
Form RD 400-4 Assurance Agreement Form Modified Available
Form RD 400-1 Equal Opportunity Agreement Form Modified Available
Form RD 9004-3 Repowering Assistance Program - Payment Request Form Modified Available
Form RD 9004-2 Repowering Assistance Program - Agreement Form Modified Available
Form RD 9004-1 Repowering Assistance Program - Application Form Modified Available
Form AD-1048 Certification Regarding Debarment, Suspension, Ineligibility & Voluntary Exclusion - Lower tier transactions Form Modified Available
Form AD-1047 Certification Regarding Debarment, Suspension, & Other Responsibility Matters - Primary Covered Transactions Form Modified Available
Form RD 400-4 Assurance Agreement Form Modified Available
Form RD 400-1 Equal Opportunity Agreement Form Modified Available
Form RD 9004-3 Repowering Assistance Program - Payment Request Form Modified Available
Form RD 9004-2 Repowering Assistance Program - Agreement Form Modified Available
Form RD 9004-1 Repowering Assistance Program - Application Form Modified Available
RD1940-20.pdf Supplementary Document Uploaded 2009-12-24 Available
sflllin[1].pdf Supplementary Document Uploaded 2009-12-23 Available
0058 - Section_9004_Spreadsheet.xls Supplementary Document Uploaded 2009-12-23 Available
Clean Copy Sec_9004_SuptStmt - 3-2-10.docx Supporting Statement A Uploaded 2010-03-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
189243 Private Sector - Section 9004 Form ModifiedCertification Regarding Debarment, Suspension, Ineligibility & Voluntary Exclusion - Lowered Tier Covered Transactions
189243 Private Sector - Section 9004 Form ModifiedCertification Regarding Debarment, Suspension, & Other Responsibility Matters - Primary Covered Transactions
189243 Private Sector - Section 9004 Form ModifiedAssurance Agreement
189243 Private Sector - Section 9004 Form ModifiedEqual Opportunity Agreement
189243 Private Sector - Section 9004 Form ModifiedRepowering Assistance Program - Payment Request
189243 Private Sector - Section 9004 Form ModifiedRepowering Assistance Program - Agreement
189243 Private Sector - Section 9004 Form ModifiedRepowering Assistance Program - Application
189242 Private Individuals - Section 9004 Form ModifiedCertification Regarding Debarment, Suspension, Ineligibility & Voluntary Exclusion - Lower tier transactions
189242 Private Individuals - Section 9004 Form ModifiedCertification Regarding Debarment, Suspension, & Other Responsibility Matters - Primary Covered Transactions
189242 Private Individuals - Section 9004 Form ModifiedAssurance Agreement
189242 Private Individuals - Section 9004 Form ModifiedEqual Opportunity Agreement
189242 Private Individuals - Section 9004 Form ModifiedRepowering Assistance Program - Payment Request
189242 Private Individuals - Section 9004 Form ModifiedRepowering Assistance Program - Agreement
189242 Private Individuals - Section 9004 Form ModifiedRepowering Assistance Program - Application

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2013 36 Months From Approved 03/31/2010
112 0 135
1,662 0 2,017
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Private Individuals - Section 9004 RD 9004-1, RD 9004-2, RD 9004-3, AD-1048, AD-1047, RD 400-4, RD 400-1 ,   ,   ,   ,   ,   ,  
Private Sector - Section 9004 RD 9004-2, RD 9004-3, AD-1047, AD-1048, RD 9004-1, RD 400-1, RD 400-4 ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 112 135 0 0 -23 0
Annual Time Burden (Hours) 1,662 2,017 0 0 -355 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No