| USDA - RUS |
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Title of Information Document |
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OMB No. |
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0572-0151 |
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| SUMMARY OF INFORMATION COLLECTION |
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RUS Rural Energy Savings Program (RESP) |
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Date Prepared |
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Burdens |
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Sep-16 |
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| INSTRUCTIONS: |
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> |
(f) TOTAL |
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(h) TOTAL |
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(k) TOTAL |
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| Use this form when a single information collection document involves multiple reporting and |
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> |
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= (e) Average |
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= (g) Average |
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= (j) Average |
| recordkeeping requirements. |
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(d) TOTAL |
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(f) TOTAL |
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(i) TOTAL |
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| IDENTIFICATION OF REPORTING AND RECORDKEEPING REQUIREMENTS |
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ANNUAL BURDEN |
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FORM |
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REPORTS |
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RECORDS |
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NO(s) |
NO. OF |
NO. OF |
TOTAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
TOTAL |
| SECTION OF |
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(If "none" |
RESPON- |
RESPONSES |
ANNUAL |
PER |
HOURS |
RECORD- |
HOURS PER |
RECORD- |
| REGULATIONS |
DESCRIPTION |
so state) |
DENTS |
PER |
RESPONSES |
RESPONSE |
(Col. f & g) |
KEEPERS |
RECORD- |
KEEPING |
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RESPON- |
(Col. d & e) |
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KEEPER |
HOURS |
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DENT |
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(Col. i & j) |
| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
(k) |
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Step 1: Letter of Intent |
written |
33 |
1 |
33 |
5.00 |
165.00 |
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Step 2: RESP Application |
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Transmittal Letter (Request for RESP loan from Gen. Mgr) |
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12 |
1 |
12 |
1.00 |
12.00 |
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Board Resolution |
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12 |
1 |
12 |
1.00 |
12.00 |
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Environmental Compliance Review |
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12 |
1 |
12 |
10.00 |
120.00 |
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Energy Efficiency Program Implementation Work Plan |
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12 |
1 |
12 |
40.00 |
480.00 |
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Long Range Financial Forecast and Board Resolution |
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12 |
1 |
12 |
40.00 |
480.00 |
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Statement of Counsel |
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12 |
1 |
12 |
1.00 |
12.00 |
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Articles of Incorporation and Bylaws |
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12 |
1 |
12 |
0.50 |
6.00 |
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STATEMENTS OF COMPLIANCE |
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Ex. Order 13166, Limited English Proficiency Intiative |
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12 |
1 |
12 |
0.25 |
3.00 |
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| 2 CFR part 182, 421 |
Governmentwide Requirements for Drug-Free Workplace |
AD-1049 |
12 |
1 |
12 |
0.25 |
3.00 |
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(0505-0027) |
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| 7 CFR part 15, subpart A |
Compliance Assurance (Nondiscrimination in Federally Assisted Programs) |
RUS Form 266 |
12 |
1 |
12 |
0.50 |
6.00 |
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(0572-0032) |
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Equal Employment Opportunity Employer Report |
SF-100 |
12 |
1 |
12 |
0.25 |
3.00 |
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(3048-0007) |
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| 2 CFR part 417 |
Certification Regarding Debarment, Suspension |
AD-1047 or |
12 |
1 |
12 |
0.25 |
3.00 |
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AD-1048 |
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(0505-0027) |
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| 2 CFR part 418 |
Lobbying for Grants, Loans, Contracts |
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12 |
1 |
12 |
0.25 |
3.00 |
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| 1710.126; 1710.401(a)(13)(ii) |
Federal Debt Delinquency Requirements |
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12 |
1 |
12 |
0.50 |
6.00 |
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Review and Acceptance of Condition Letter |
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12 |
1 |
12 |
8.00 |
96.00 |
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Review and Execution of RESP Loan Agreement |
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12 |
1 |
12 |
1.00 |
12.00 |
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TOTALS |
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33 |
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225 |
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1422 |
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