Information Collection

HBIIP Applicants

IC 240649 under ICR 202010-0570-001 · OMB 0570-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0072 can be found here:

2024-12-31 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 270 HBIIP Applicants	Form
Form SF 270 Request for Advance or Reimbursement HBIIP Applicants	Form
IC List - Non-Forms.docx	Other-Written
IC List - Non-Forms.docx	Other-Written
SF 270 Request for Advance or Reimbursement SF270-Request for Advance or Reimbursement.pdf www.grants.gov/web/grants/forms/post-award-reporting-forms.html	Form
SF 270 Request for Advance or Reimbursement SF270-Request for Advance or Reimbursement.pdf www.grants.gov/web/grants/forms/post-award-reporting-forms.html	Form
Application for Federal Assistance SF 424 - Individual.pdf SF 424, “Application for Federal Assistance	IC Document
Application for Federal Assistance SF 424 - Individual.pdf SF 424, “Application for Federal Assistance	IC Document
SF424C -Budget Information-Construction Programs.pdf SF 424C, “Budget Information - Construction Programs,”	IC Document
SF424C -Budget Information-Construction Programs.pdf SF 424C, “Budget Information - Construction Programs,”	IC Document
SF424 D- Assurances for Construction Programs.pdf SF 424D, “Assurances for Construction Programs.”	IC Document
SF424 D- Assurances for Construction Programs.pdf SF 424D, “Assurances for Construction Programs.”	IC Document
Other OMB Dockets-Non-IC Forms-Transparency Act - Environmental Review.docx Written - NON-IC List under other OMB dockets	IC Document
Other OMB Dockets-Non-IC Forms-Transparency Act - Environmental Review.docx Written - NON-IC List under other OMB dockets	IC Document
SF425_Federal Financial Assistance.pdf SF–425, ‘‘Federal Financial Report,’’	IC Document
SF425_Federal Financial Assistance.pdf SF–425, ‘‘Federal Financial Report,’’	IC Document
RD4280-4-LETTER OF CONDITIONS.PDF Form RD 4280-4, “Letter of Conditions,”	IC Document
RD4280-4-LETTER OF CONDITIONS.PDF Form RD 4280-4, “Letter of Conditions,”	IC Document
RD1940-1- Req. for Obligation of Funds.pdf Form RD 1940–1, ‘‘Request for Obligation of Funds,”	IC Document
RD1940-1- Req. for Obligation of Funds.pdf Form RD 1940–1, ‘‘Request for Obligation of Funds,”	IC Document
RD1942-0046-Letter of Intent to Meet Conditions.pdf Form RD 1942–46, ‘‘Letter of Intent to Meet Conditions,”	IC Document
RD1942-0046-Letter of Intent to Meet Conditions.pdf Form RD 1942–46, ‘‘Letter of Intent to Meet Conditions,”	IC Document
RD4280-4-LETTER OF CONDITIONS.PDF Form RD 4280-2, Rural Business-Cooperative Service Financial Assistance Agreement,”	IC Document
RD4280-4-LETTER OF CONDITIONS.PDF Form RD 4280-2, Rural Business-Cooperative Service Financial Assistance Agreement,”	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

HBIIP Applicants

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Written					Yes	Yes	Fillable Printable
Form	SF 270			https://www.grants.gov/web/grants/forms/post-award-reporting-forms.html	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 121

Number of Respondents for Small Entity: 121

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	348	148	200
Annual IC Time Burden (Hours)	13,834	-2,326	16,160
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SF 424, âApplication for Federal Assistance		10/07/2020
SF 424C, âBudget Information - Construction Programs,â		10/07/2020
SF 424D, âAssurances for Construction Programs.â		10/07/2020
Written - NON-IC List under other OMB dockets		10/07/2020
SFâ425, ââFederal Financial Report,ââ		10/07/2020
Form RD 4280-4, âLetter of Conditions,â		10/07/2020
Form RD 1940â1, ââRequest for Obligation of Funds,â		10/07/2020
Form RD 1942â46, ââLetter of Intent to Meet Conditions,â		10/07/2020
Form RD 4280-2, Rural Business-Cooperative Service Financial Assistance Agreement,â		10/07/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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