Repowering Assistance Program - Individuals

Repowering Assistance Program

Documents and Forms

Document Name Document Type
Form RD 4288-4 Repowering Assistance Program - Individuals 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

Information Collection (IC) Details

IC Title:	Repowering Assistance Program - Individuals	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:

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: 2	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12	-2	14
Annual IC Time Burden (Hours)	138	17	121
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.