| 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 | 
				 Average Time to Respond 
 | 
				 Exempt | Non-Exempt | 
| Project Information | 
 | 
 | Supporting Documentation | 609.17(a)(1) | 70 | 12 | 840 | 4.00 | 
 | 3360 | 
| Financial and Operational Data | 
 | 
 | Supporting Documentation | 609.17(b) | 30 | 12 | 360 | 3.00 | 
 | 1080 | 
| 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
| TOTALS  | 
 | 
 | 
				 | 
				 | 100 | 12 | 1,200 | 3.67 (average) | 
				 | 4400 | 
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | roulech | 
| File Modified | 2011-11-07 | 
| File Created | 2011-11-07 |