HBIIP Applicants

Higher Blends Infrastructure Incentive Program (HBIIP)

Documents and Forms

Document Name Document Type
Form SF 270 HBIIP Applicants Form
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
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
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
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
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
RD4280-4-LETTER OF CONDITIONS.PDF Form RD 4280-2, Rural Business-Cooperative Service Financial Assistance Agreement,” IC Document

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Written			IC List - Non-Forms.docx		Yes	Yes	Fillable Printable
Form	SF 270	Request for Advance or Reimbursement	SF270-Request for Advance or Reimbursement.pdf	https://www.grants.gov/web/grants/forms/post-award-reporting-forms.html	Yes	Yes	Fillable Fileable

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 %

	Requested	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

Title	Document	Date Uploaded
SF 424, “Application for Federal Assistance	Application for Federal Assistance SF 424 - Individual.pdf	10/07/2020
SF 424C, “Budget Information - Construction Programs,”	SF424C -Budget Information-Construction Programs.pdf	10/07/2020
SF 424D, “Assurances for Construction Programs.”	SF424 D- Assurances for Construction Programs.pdf	10/07/2020
Written - NON-IC List under other OMB dockets	Other OMB Dockets-Non-IC Forms-Transparency Act - Environmental Review.docx	10/07/2020
SF–425, ‘‘Federal Financial Report,’’	SF425_Federal Financial Assistance.pdf	10/07/2020
Form RD 4280-4, “Letter of Conditions,”	RD4280-4-LETTER OF CONDITIONS.PDF	10/07/2020
Form RD 1940–1, ‘‘Request for Obligation of Funds,”	RD1940-1- Req. for Obligation of Funds.pdf	10/07/2020
Form RD 1942–46, ‘‘Letter of Intent to Meet Conditions,”	RD1942-0046-Letter of Intent to Meet Conditions.pdf	10/07/2020
Form RD 4280-2, Rural Business-Cooperative Service Financial Assistance Agreement,”	RD4280-4-LETTER OF CONDITIONS.PDF	10/07/2020

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