Information Collection

Repowering Assistance Program - Private Sector

IC 192373 under ICR 201708-0570-002 · OMB 0570-0066.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RD 4288-4 Repowering Assistance Program - Private Sector	Form
Instructions for RD Form 4288-4.docx	Instruction
Instructions for RD Form 4288-5.docx	Instruction
Instructions for RD Form 4288-6.docx	Instruction
Instructions for RD0400-1.docx	Instruction
Instructions for RD0400-4.docx	Instruction
RD 4288-4 Repowering Assistance Program Application RD4288-0004.pdf	Form
RD 4288-5 Repowering Assistance Program Agreement RD4288-0005.pdf	Form
RD-4288-6 Repowering Assistance Program Payment Request RD4288-0006.pdf	Form
RD 400-1 Equal Opportunity Agreement RD400-1.pdf	Form
RD 400-4 Assurance Agreement RD400-4.pdf	Form
AD 1047 Certification Regarding Debarment, Suspension, and Other AD_1047-V1.0.pdf	Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi AD_1048-V1.0.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	RD 4288-4	Repowering Assistance Program Application	RD4288-0004.pdf	Yes	No	Fillable Printable
Form	RD 4288-5	Repowering Assistance Program Agreement	RD4288-0005.pdf	Yes	No	Fillable Printable
Form	RD-4288-6	Repowering Assistance Program Payment Request	RD4288-0006.pdf	Yes	No	Fillable Printable
Form	RD 400-1	Equal Opportunity Agreement	RD400-1.pdf	Yes	Yes	Fillable Fileable
Form	RD 400-4	Assurance Agreement	RD400-4.pdf	Yes	Yes	Fillable Fileable
Form	AD 1047	Certification Regarding Debarment, Suspension, and Other Responsibility Matters	AD_1047-V1.0.pdf	Yes	No	Fillable Printable
Form	AD 1048	Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion	AD_1048-V1.0.pdf	Yes	No	Fillable Printable
Instruction			Instructions for RD Form 4288-4.docx	Yes	No	Fillable Printable
Instruction			Instructions for RD Form 4288-5.docx	Yes	No	Fillable Printable
Instruction			Instructions for RD Form 4288-6.docx	Yes	No	Fillable Printable
Instruction			Instructions for RD0400-1.docx	Yes	No	Fillable Printable
Instruction			Instructions for RD0400-4.docx	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4

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	30	-28	58
Annual IC Time Burden (Hours)	324	43	281
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.