20230221 - Full App offline CHIPS Incentives Request - Formatted vJP.xlsx

CHIPS Full-Application Information Collection

20230221 - Full App offline CHIPS Incentives Request - Formatted vJP.xlsx

OMB: 0693-0094

Document [xlsx]
Download: xlsx | pdf
Template for CHIPS Incentive Request





Full Application stage




















A) CHIPS Incentive Request Summary












A1. CHIPS Direct Funding Request












Funding Request





Are you requesting Direct Funding? Select One




Amount requested for CHIPS Direct Funding 0.00











A2. CHIPS Loan Request












Funding Request





Are you requesting a CHIPS Loan? Select One




Amount requested for the CHIPS Loan 0.00




Requested tenor for the CHIPS Loan





Financing Structure2 Select One











Provide other requested terms (e.g., details on amortization schedule, deferred interest option, pre-payment, seniority, collateralization, fixed vs floating interest rate type) for the requested CHIPS Loan. To the extent that requested terms differ from the baseline terms in Section I.B.8 of the NOFO, the summary should include a justification.

































A3. CHIPS Loan Guarantee Request












Funding Request





Are you requesting for a CHIPS Loan Guarantee(s) Select One




Number of Loans to be Guaranteed 0











Loan Guarantee Summary (Calculated)





Third-party Loans Guaranteed by CHIPS Program 0.00




Unguaranteed portion of Third-Party Loans Guaranteed by CHIPS Program 0.00











CHIPS Loan Guarantee Request Details Loan 1 Loan 2 Loan 3 Loan 4 Loan 5

Total size of the Loan 0.00 0.00 0.00 0.00 0.00

Amount of Loan requested to be guaranteed through CHIPS program (up to 80%) 0.00 0.00 0.00 0.00 0.00

Requested tenor for the Loan





Third Party Lender, if known (please include all if multiple)












Provide other requested terms (e.g., details on amortization schedule, deferred interest option, pre-payment, seniority, collateralization, fixed vs floating interest rate type) for the requested CHIPS Loan Guarantee(s). To the extent that requested terms differ from the baseline terms in Section I.B.8 of the NOFO, the summary should include a justification.








































B) Credit Rating Summary1












Borrowing Entity and Corporate Parent Details Entity Name Entity Unique SAM.gov ID number (if available) Entity address (if available) Entity website (if available)

Borrowing Entity for Project





Corporate Parent / Sponsoring Entity (if applicable)












Credit Rating of Borrowing Entity Agency Providing Credit Rating Corporate Credit Rating Date of Rating


Long-term Corporate Credit Rating 1 (if applicable)





Long-term Corporate Credit Rating 2 (if applicable)





Long-term Corporate Credit Rating 3 (if applicable)












Credit Rating of Corporate Parent / Sponsoring Entity (if applicable) Agency Providing Credit Rating Corporate Credit Rating Date of Rating


Long-term Corporate Credit Rating 1 (if applicable)





Long-term Corporate Credit Rating 2 (if applicable)





Long-term Corporate Credit Rating 3 (if applicable)












Notes





1: Provide the most recent credit rating for any agency which has provided a report for the borrowing entity and / or the corporate parent or sponsoring entity to the borrowing entity (if available)





2: Corporate Finance implies debt is incurred at the parent of development company level, with debt secured at the development company level. Project Finance implies that debt is secured at the project company level to finance the project




File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy