LGPO Listing of reporting and recordkeeping requirements-revised2

This form is available electronically.
U.S. Department of Energy Loan Guarantee Program Office Reporting and Recordkeeping Requirements						1. OMB No.		1910-5134		2. Title of Clearance		Guaranteed Loans Page 1
3.	4.	5.	6.	7.	Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)
Description (Title of Form, Report or Record)	Report	Record	Form No.	Regulation Part/Sec.	8.		9.		10.		11.		12. Total Burden Hours
					No. of Respondents		No. of Reports Filed Per Person		Total Annual Responses (/1)		Average Time to Respond		Exempt	Non-Exempt
Application Form	 	 	LGPO-08-2	609.6(b) (1)	16		1		16		0.50		     	8
Project Eligibility	 	 	Supporting Documents	609.6(b) (4) & (6)	16		1		16		0.50		     	8
State and Local Support	 	 	Supporting Documents	609.6(b) (29)	16		2		32		1.00		     	32
Project Participants	 	 	Supporting Documents	609.6(b) (29)	16		1		16		0.50		     	8
Contact Information	 	 	Supporting Documents	609.6(b) (29)	16		1		16		0.50		     	8
Project Description—Overview	 	 	Supporting Documents	609.6(b) (5)	16		1		16		2.00		     	32
Implementation Schedule	 	 	Supporting Documents	609.6(b) (5)	16		1		16		5.00		     	80
Location	 	 	Supporting Documents	609.6(b) (5)	16		1		16		1.00		     	16
Technology	 	 	Supporting Documents	609.6(b) (5) Iic	16		1		16		4.00		     	64
Cost	 	 	Supporting Documents	609.6(b) (7)	16		2		32		20.00		     	640
Construction Risks and Mitigation Strategies	 	 	Supporting Documents	609.6(b) (19)	16		2		32		10.00		     	320
Legal Opinions and Material Reports	 	 	Supporting Documents	609.6(b) (18)	16		3		48		50.00		     	2,400
Status of Approvals	 	 	Supporting Documents	609.6(b) (22)	16		4		64		2.00		     	128
Engineering and Construction Plans	 	 	Supporting Documents	609.6(b) (8)	16		1		16		150.00		     	2,400
Operating and Maintenance Plans	 	 	Supporting Documents	609.6(b) (9)	16		1		16		120.00		     	1,920
SUBTOTALS 		     			16		23		368		21.91 avg.			8,064

This form is available electronically.
U.S. Department of Energy Loan Guarantee Program Office Reporting and Recordkeeping Requirements					1. OMB No.		1910-5134		2. Title of Clearance	Guaranteed Loans Page 2
3.	4.	5.	6.	7.	Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)
Description (Title of Form, Report or Record)	Report	Record	Form No.	Regulation Part/Sec.	8.	9.		10.	11.	12. Total Burden Hours
					No. of Respondents	No. of Reports Filed Per Person		Total Annual Responses (/1) (a)	Average Time to Respond	Exempt	Non-Exempt
Decommissioning Plan	 	 	Supporting Documents	609.6(b) (11)	16	1		16	50.00	     	800
Permits and Approvals	 	 	Supporting Documents	609.6(b) (22)	16	5		80	3.00	     	240
Independent Engineer’s Report	 	 	Supporting Documents	609.6(b) (19)	16	1		16	50.00	     	800
Environmental Report	 	 	Supporting Documents	609.6(b) (23)	16	1		16	100.00	     	1,600
Financial Analysis	 	 	Financial Information	609.6(b) (13)&(25)	16	1		16	40.00	     	640
Market Analysis	 	 	Supporting Documents	609.6(b) (12)	16	1		16	40.00	     	640
Sponsor Involvement	 	 	Supporting Documents	609.6(b) (17)	320 (/2)	1		320	1.00	     	320
Contractual Arrangements	 	 	Supporting Documents	609.6(b) (14)	16	8		128	10.00	     	1,280
Management Plan	 	 	Supporting Documents	609.6(b) (10)	16	1		16	8.00	     	128
Operational Risks and Mitigation Strategies	 	 	Supporting Documents	609.6(b) (29)	16	1		16	10.00	     	160
Applicant Statement	 	 	Supporting Documents	609.6(b) (28)	16	1		16	5.00	     	80
Progress Reports	 	 	Supporting Documents	609.6(b) (29)	16	10 (/3)		160	4.00	     	640
Sources of Funds	 	 	Supporting Documents	609.6(b) (13)	16	1		16	1.00	     	16
Letter(s) of Intent from Debt and Equity Financing Sources	 	 	Financial Information	609.6(b) (29)	80 (/4)	1		80	0.50	     	40
Closing Checklist	 	 	Supporting Documents	609.6(b) (15)	16	1		16	2.00	     	32
Information on Other Borrowed Funds	 	 	Financial Information	609.6(b) (17)	16	1		16	1.00	     	16
SUBTOTALS 		     			416	36		944	7.87 avg.		7,432
This form is available electronically.
U.S. Department of Energy Loan Guarantee Program Office Reporting and Recordkeeping Requirements					1. OMB No.		1910-5134		2. Title of Clearance	Guaranteed Loans Page 3
3.	4.	5.	6.	7.	Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)
Description (Title of Form, Report or Record)	Report	Record	Form No.	Regulation Part/Sec.	8.		9.	10.	11.	12. Total Burden Hours
					No. of Respondents		No. of Reports Filed Per Person	Total Annual Responses (/1)	Average Time to Respond	Exempt	Non-Exempt
Collateral	 	 	Financial Information	609.6(b) (24)	16		2	32	2.00	     	64
Preliminary Credit Assessment	 	 	Financial Information	609.6(b) (21)	16		1	16	1.00	     	16
Eligible Lender or Holder Statement	 	 	Supporting Documents	609.6(b) (17)&(26)	80 (/5)		1	80	1.00	     	80
Background and Legal Structure		 	Supporting Documents	609.6(b) (29)	16		1	16	3.00	     	48
Legal Authority	 	 	Supporting Documents	609.6(b) (18)	16		1	16	3.00	     	48
Organization	 	 	Supporting Documents	609.6(b) (29)	16		1	16	6.00	     	96
Prior Experience	 	 	Supporting Documents	609.6(b) (29)	16		1	16	4.00	     	64
Financial Statements	 	 	Financial Information	609.6(b) (17)	16		4	64	0.50	     	32
Credit History	 	 	Financial Information	609.6(b) (20)	16		1	16	0.25	     	4
Litigation and/or Conflicts	 	 	Supporting Documents	609.6(b) (29)	16		1	16	0.50	     	8
SUBTOTALS 		     			96		14	288	1.60 (average)		460
TOTALS 	     	     			528		73	1,600	9.97 (average)		15,956

/1 – All figures in Column 10, except for Progress Reports on page 2, are one-time only (not annual) submissions.

/2 – The maximum potential number of respondents assuming that each of the 16 projects has 20 five percent shareholders.

/3 – The figures for Progress Reports assume quarterly submissions over an average period of 2.5 years per respondent.

/4 – Assumes five sources for each of the 16 projects.

/5 – Assumes five sources for each of the 16 projects.