|                                                                     USDA - RBCS | 
		
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		Title  of  Information  Document | 
		
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		OMB  No. | 
		
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		Rural Energy Pilot Program (REPP) Grant | 
		
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		|  SUMMARY  OF  INFORMATION  COLLECTION | 
		
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		Date  Prepared | 
		
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		Jan-22 | 
		
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		|  INSTRUCTIONS: | 
		
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		> | 
		(f)  TOTAL | 
		
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		(h)  TOTAL | 
		
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		(k)  TOTAL | 
		
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		| Use this form when a single information collection document involves multiple reporting and                   | 
		
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		> | 
		- | 
		= (e)  Average | 
		- | 
		= (g)  Average | 
		- | 
		= (j)  Average | 
		
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		|   recordkeeping requirements.   | 
		
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		> | 
		(d)  TOTAL | 
		
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		(f)  TOTAL | 
		
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		(i)  TOTAL | 
		
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		|          IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPPING  REQUIREMENTS | 
		
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		ANNUAL  BURDEN | 
		
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		FORM | 
		
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		REPORTS | 
		
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		RECORDS | 
		
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		NO(s) | 
		NO.  OF | 
		NO.  OF | 
		TOTAL | 
		HOURS | 
		TOTAL | 
		NO.  OF | 
		ANNUAL | 
		TOTAL | 
		
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		SECTION  OF | 
		
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		(If  "none" | 
		RESPON- | 
		RESPONSES | 
		ANNUAL | 
		PER | 
		HOURS | 
		RECORD- | 
		HOURS  PER | 
		RECORD- | 
		
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		REGULATIONS | 
		DESCRIPTION | 
		so  state) | 
		DENTS | 
		PER | 
		RESPONSES | 
		RESPONSE | 
		(Col.  f  &  g) | 
		KEEPERS | 
		RECORD- | 
		KEEPING | 
		
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		RESPON- | 
		(Col.  d  &  e) | 
		
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		KEEPER | 
		HOURS | 
		
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		DENT | 
		
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		(Col.  i  &  j) | 
		
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		(b) | 
		(c) | 
		(d) | 
		(e) | 
		(f) | 
		(g) | 
		(h) | 
		(i) | 
		(j) | 
		(k) | 
		
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		Items Cleared Under This Docket - 0570-New | 
		
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		REPP Required Letter of Intent (Pre-Award) | 
		non-form | 
		25  | 
		1  | 
		25  | 
		40.00 | 
		
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		REPP Technical Report and Planning Documents (Pre-Award) | 
		non-form | 
		25  | 
		1  | 
		25  | 
		50.00 | 
		1,250.00 | 
		
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		Reporting and Record Keeping Requirements Under This OMB Docket No. 0570-NEW | 
		
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		Semi-Annual Report - Project Performance (Post-Award) | 
		non-form | 
		5  | 
		2  | 
		10  | 
		0.50 | 
		5.00 | 
		5  | 
		2  | 
		10  | 
		
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		2 CFR 200-343 | 
		Final Project and Financial Status report (Post-Award) | 
		non-form | 
		5  | 
		1  | 
		5  | 
		1.00 | 
		5.00 | 
		5  | 
		1  | 
		5  | 
		
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		Outcome Project Performance Reports and Final Deliverables            (Post-Award) | 
		non-form | 
		5  | 
		1  | 
		5  | 
		1.00 | 
		5.00 | 
		5  | 
		1  | 
		5  | 
		
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		| Total burden hours for forms approved under this OMB Docket 0570-NEW | 
		
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		25  | 
		1.00  | 
		70  | 
		32.14  | 
		2,250.00 | 
		15  | 
		4 | 
		20  | 
		
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		Record Keeping hours under this OMB Docket 0570-NEW | 
		
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		15 | 
		4 | 
		20 | 
		1.33 | 
		15.00 | 
		
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		Total Burden and Record Keeping Burden | 
		
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		2,265.00 | 
		
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		Items Cleared Under Other OMB Dockets | 
		
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		Cleared Under OMB Docket No. 3090-0292 | 
		
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		(FFATA) Transparency Act Reporting (Pre-award) | 
		100  | 
		25  | 
		1 | 
		25 | 
		1.33 | 
		33.25 | 
		
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		Cleared Under OMB Docket No. 4040-0004 | 
		
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		Application for Federal Assistance (Pre-Award) | 
		SF 424 | 
		25  | 
		1 | 
		25 | 
		1.10 | 
		27.50 | 
		
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		Cleared Under OMB Docket No. 4040-0006 | 
		
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		Budget Information - Non-Construction Programs (Pre-Award) | 
		SF 424A | 
		25  | 
		1 | 
		25 | 
		2.00 | 
		50.00 | 
		
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		Cleared Under OMB Docket No. 4040-0008 | 
		
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		Budget Information - Construction Programs (Pre-Award) | 
		SF 424C | 
		25  | 
		1 | 
		25 | 
		2.00 | 
		50.00 | 
		
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		Cleared Under OMB Docket No. 4040-0009 | 
		
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		Assurances - Construction Programs (Pre-Award) | 
		SF 424D | 
		25  | 
		1 | 
		25 | 
		0.25 | 
		6.25 | 
		
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		Cleared Under OMB Docket No. 4040-0013 | 
		
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		Disclosure of Lobbying Activities | 
		SF-LLL | 
		25  | 
		1 | 
		25 | 
		0.25 | 
		6.25 | 
		
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		Cleared Under OMB Docket No. 4040-0012 | 
		
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		Request for Advance or Reimbursement (Post-Award) | 
		SF 270 | 
		5  | 
		1  | 
		5  | 
		1.00 | 
		5.00 | 
		
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		Cleared Under OMB Docket No. 0575-0018 (to be udated to RD Commom control # ASAP) | 
		
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		Equal Opportunity Agreement | 
		RD 400-1 | 
		25  | 
		1 | 
		25 | 
		0.25 | 
		6.25 | 
		
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		Cleared Under OMB Docket No. 0575-0018 (to be udated to RD Commom control # ASAP) | 
		
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		Assurance Agreement | 
		RD 400-4 | 
		25  | 
		1 | 
		25 | 
		0.25 | 
		6.25 | 
		
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		Cleared Under OMB Docket No. 0575-0197 | 
		
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		Written – Environmental Review Documents (Pre-Award) | 
		written | 
		25  | 
		1 | 
		25 | 
		40.00 | 
		1,000.00 | 
		
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		Cleared Under OMB Docket No. 0570-0035 | 
		
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		Letter of Conditions | 
		Form RD 4280-4 | 
		5  | 
		1 | 
		5 | 
		1.00 | 
		5.00 | 
		
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		Cleared Under OMB Docket No. 0570-0061 and 0570-0062 (to be udated to RD Commom control # ASAP) | 
		
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		Request for Obligation of Funds (Post-Award) | 
		Form RD 1940–1 | 
		5  | 
		1 | 
		5 | 
		0.25 | 
		1.25 | 
		
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		Cleared Under OMB Docket No. 0575-0015, 0570-0021, 0570-0061, 0570-0062 and 0572-0137 (to be udated to RD Commom control # ASAP) | 
		
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		Letter of Intent to Meet Conditions (Post-Award) | 
		Form RD 1942–46 | 
		5  | 
		1 | 
		5 | 
		1.00 | 
		5.00 | 
		
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		Cleared Under OMB Docket No. 4040-0014 | 
		
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		Federal Financial Report (Post-Award) | 
		SF–425  | 
		5  | 
		1 | 
		5 | 
		1.00 | 
		5.00 | 
		
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		Cleared Under OMB Docket No. 0570-0050 (to be udated to RD Commom control # ASAP) | 
		
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		Rural Business-Cooperative Service Financial Assistance Agreement (Grant Agreement) (Post-award) | 
		Form RD 4280-2 | 
		5  | 
		1 | 
		5 | 
		1.00 | 
		5.00 | 
		
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		Total burden hours for forms approved under other OMB Dockets | 
		
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		25 | 
		15 | 
		255 | 
		4.75  | 
		1,212.00 | 
		
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		Annual Burden Hours | 
		
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		3,462.00 | 
		
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		Record Keeping Hours | 
		
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		15.00 | 
		
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		TOTAL ANNUAL BURDEN AND RECORDKEEPING HOURS  | 
		
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		Total Burden Hours | 
		
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		3,477.00 | 
		
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		14.13 | 
		
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		14.19 | 
		
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