Energy Audit and Energy Assistance - State and Local

Energy Audit and Renewable Energy Development Assistance

OMB: 0570-0059

IC ID: 188029

Information Collection (IC) Details

View Information Collection (IC)

Energy Audit and Energy Assistance - State and Local
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AD 1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters � Primary Covered Transactions AD1047-F-01-92.pdf Yes Yes Fillable Printable
Form AD 1048 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion � Lower Tier Covered Transactions AD1048-F-01-92.pdf Yes Yes Fillable Printable
Form AD 1049 Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I AD1049-F-05-90.pdf Yes Yes Fillable Printable
Form RD 1940-1 Request for Obligation of Funds RD1940-0001_080700V01.pdf Yes Yes Fillable Printable
Form RD 400-4 Assurance Agreement 0400-04.pdf Yes Yes Fillable Printable
Form RD 1942-46 Letter of Intent 1942-46.pdf Yes Yes Fillable Printable
Form RD 4280-2 Rural Business and Cooperative Service Grant Agreement RD 4280-2[Rev].docx Yes No Fillable Printable
Instruction Instructions for RD 4280-2.docx No   Printable Only

Energy Energy Production

 

20 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 329 0 0 0 0 329
Annual IC Time Burden (Hours) 445 0 0 0 0 445
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Application for Federal Assistance 424_20090131[1].doc 03/11/2009
Financial Status Report sf269[1].pdf 03/11/2009
Request for Adance or Reimbursement sf270[1].pdf 03/11/2009
Budget Information - Non-Construction Programs SF424A-V1[1].0.pdf 03/11/2009
Assurances - Non-Construction Programs SF424B[1].pdf 03/11/2009
Disclosure of Lobbying Activities sflllin[1].pdf 03/11/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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