This form is available electronically.  | 
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U.S. Department of Energy Loan Guarantee Program Office 
 Reporting and Recordkeeping Requirements 
 
 
 
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			1. OMB No.  | 
			1910-5134  | 
			2. Title of Clearance  | 
			Guaranteed Loans Page 1  | 
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				 3. 
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				 4. 
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				 5. 
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				 6. 
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				 7. 
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			Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)  | 
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Description (Title of Form, Report or Record)  | 
			Report 
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			Record
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			Form No. 
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			Regulation Part/Sec.  | 
			
				 8. 
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				 9. 
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				 10. 
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				 11. 
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			12. Total Burden Hours  | 
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			No. of Respondents  | 
			No. of Reports Filed Per Person  | 
			Total Annual Responses  | 
			
				 Average Time to Respond 
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				 Exempt  | 
			Non-Exempt  | 
		
Project Information  | 
			
  | 
			
  | 
			Supporting Documentation  | 
			609.17(a)(1)  | 
			70  | 
			12  | 
			840  | 
			4.00  | 
			
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			3360  | 
		
Financial and Operational Data  | 
			
  | 
			
  | 
			Supporting Documentation  | 
			609.17(b)  | 
			30  | 
			12  | 
			360  | 
			3.00  | 
			
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			1080  | 
		
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TOTALS   | 
			
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  | 
			
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			100  | 
			12  | 
			1,200  | 
			3.67 (average)  | 
			
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			4400  | 
		
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | roulech | 
| File Modified | 2011-11-07 | 
| File Created | 2011-11-07 |