High Energy Costs Grants Rural Communities

Forms and Documents

Document Name	Status
0572-0136 Form 36 2018.xlsm Supplementary Document	2018-01-16
0572-0136 SST 4-2018.docx Supporting Statement A	2018-04-06
RD1942-0046.pdf Supplementary Document	2018-01-16
AD-3031 ASSURANCE REGARDING FELONY CONVICTION.pdf Supplementary Document	2018-01-16
SF271-V1.0.pdf Supplementary Document	2018-01-16
SF270-V1.0.pdf Supplementary Document	2018-01-16
SF425_2_0-V2.0.pdf Supplementary Document	2018-01-16
SF425_2_0-V2.0.pdf Supplementary Document	2018-01-16
SFLLL_1_2-V1.2.pdf Supplementary Document	2018-01-16
SF424D.pdf Supplementary Document	2018-01-16
SF424B-V1.1.pdf Supplementary Document	2018-01-16
SF424C_2_0-V2.0.pdf Supplementary Document	2018-01-16
SF424A-V1.0.pdf Supplementary Document	2018-01-16
SF424_2_1-V2.1.pdf Supplementary Document	2018-01-16

IC Document Collections

IC ID	Document Title	Status
36908	Assistance to High Cost Energy Rural Communities (Private Sector)	Modified
181953	Assistance to High Energy Cost (State, Local and Tribal Governments)	Modified

ICR Details

OMB Control No: 0572-0136	ICR Reference No: 201801-0572-001
Status: Active	Previous ICR Reference No: 201401-0572-004
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: High Energy Costs Grants Rural Communities
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/11/2018
	Date Received in OIRA: 04/12/2018
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved	06/30/2018
Responses	344	0	344
Time Burden (Hours)	1,172	0	1,172
Cost Burden (Dollars)	0	0	0

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Abstract: 7 CFR part 1709 contains regulations outlining the procedures available for application to the Assistance to High Cost Energy Rural Communities Grant Program. This information collection covers the application and administration process for the grant program.

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Authorizing Statute(s): US Code: 7 USC 918a Name of Law: Rural Electrification Act of 1936, as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 48975	10/23/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 15785	04/12/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Assistance to High Cost Energy Rural Communities (Private Sector)
Assistance to High Energy Cost (State, Local and Tribal Governments)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	344	344	0	0	0	0
Annual Time Burden (Hours)	1,172	1,172	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $122,805

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/12/2018

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