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REAP - State & Local
Rural Energy for America Program
OMB: 0570-0067
IC ID: 205328
OMB.report
USDA/RBS
OMB 0570-0067
ICR 201802-0570-001
IC 205328
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0570-0067 can be found here:
2025-02-19 - Reinstatement without change of a previously approved collection
2024-12-17 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form AD 1047
REAP - State & Local
Form
AD 1047 Certification Regarding Debarment, Suspension, and Other
AD1047-F-01-92.docx
Form
AD 1048 Certification Regarding Debarment, Suspension, Ineligibi
AD1048-F-01-92.docx
Form
AD 1049 CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
AD1049-F-05-90.pdf
Form
RD 4280-2 Rural Business and Cooperative Service Grant Agreement
4280-02.doc
Form
RD 4279-1 Application for Loan Guarantee
4279-01.pdf
Form
RD 4279-1A Application for Loan Guarantee-One Doc and 9006 Program
4279-1a.doc
Form
RD 4279-3 Conditional Commitment
4279-03.indd
Form
RD 4279-4 Lender's Agreement
4279-04.pdf
Form
RD 4279-6 Assignment Guarantee Agreement
4279-06.docx
Form
RD 4279-14 Unconditional Guarantee
RD4279-0014_091100V01.pdf
Form
RD 4280-3A APPLICATION FOR RENEWABLE ENERGY SYSTEMS AND ENERGY EFFI
Form RD 4280-3A.docx
Form
RD 4280-3B APPLICATION FOR RENEWABLE ENERGY SYSTEMS AND ENERGY EFFI
Form RD 4280-3B.docx
Form
RD 4280-3C APPLICATION FOR RENEWABLE ENERGY SYSTEMS AND ENERGY EFFI
Form RD 4280-3C.docx
Form
RD 1942-46 Letter of Intent
RD1942-46.pdf
Form
RD 1940-1 Request for Obligation of Funds
RD1940-0001_100600V05.pdf
Form
RD 400-4 Assurance Agreement
RD400-4.pdf
Form
RD 400-1 Equal Opportunity Agreement
RD400-1.pdf
Form
RD 400-6 Compliance Statement
RD400-6.pdf
Form
RD 1924-9 Certificate of Contractor's Release
RD1924-0009.pdf
Form
RD 1924-10 Release by Claimants
RD1924-0010.pdf
Form
RD 1980-19 Guaranteed Loan Closing Report
RD1980-19.pdf
Form
RD 1980-41 Guaranteed Loan Status Report
RD1980-41.pdf
Form
RD 1980-44 Guaranteed Loan Borrower Deliquent Status
RD1980-0044.pdf
Form
RD 1980-43 Lender's Guaranteed Loan Payment to the Agency
RD1980-43.pdf
Form
RD 449-30 Loan Note Guarantee Report of Loss
RD449-30.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
REAP - State & Local
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 4287
7 CFR 4280
7 CFR 4279
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
AD 1047
Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions
AD1047-F-01-92.docx
Yes
No
Fillable Printable
Form
AD 1048
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions
AD1048-F-01-92.docx
Yes
No
Fillable Printable
Form
AD 1049
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS (GRANTS)
AD1049-F-05-90.pdf
Yes
No
Fillable Printable
Form
RD 4279-1
Application for Loan Guarantee
4279-01.pdf
Yes
No
Fillable Printable
Form
RD 4279-1A
Application for Loan Guarantee-One Doc and 9006 Program
4279-1a.doc
Yes
No
Fillable Printable
Form
RD 4279-3
Conditional Commitment
4279-03.indd
Yes
No
Fillable Printable
Form
RD 4279-4
Lender's Agreement
4279-04.pdf
Yes
No
Fillable Printable
Form
RD 4280-2
Rural Business and Cooperative Service Grant Agreement
4280-02.doc
Yes
No
Fillable Printable
Form
RD 4279-6
Assignment Guarantee Agreement
4279-06.docx
Yes
No
Fillable Printable
Form
RD 4279-14
Unconditional Guarantee
RD4279-0014_091100V01.pdf
Yes
No
Fillable Printable
Form
RD 4280-3B
APPLICATION FOR RENEWABLE ENERGY SYSTEMS AND ENERGY EFFICIENCY IMPROVEMENT PROJECTS TOTAL PROJECT COSTS OF LESS THAN $200,000, BUT MORE THAN $80,000
Form RD 4280-3B.docx
Yes
No
Fillable Printable
Form
RD 4280-3C
APPLICATION FOR RENEWABLE ENERGY SYSTEMS AND ENERGY EFFICIENCY IMPROVEMENT PROJECTS TOTAL PROJECT COSTS OF $200,000 AND GREATER
Form RD 4280-3C.docx
Yes
No
Fillable Printable
Form
RD 4280-3A
APPLICATION FOR RENEWABLE ENERGY SYSTEMS AND ENERGY EFFICIENCY IMPROVEMENT PROJECTS TOTAL PROJECT COSTS OF $80,000 OR LESS
Form RD 4280-3A.docx
Yes
No
Fillable Printable
Form
RD 1942-46
Letter of Intent
RD1942-46.pdf
Yes
No
Fillable Printable
Form
RD 1940-1
Request for Obligation of Funds
RD1940-0001_100600V05.pdf
Yes
No
Fillable Printable
Form
RD 400-4
Assurance Agreement
RD400-4.pdf
Yes
No
Fillable Printable
Form
RD 400-1
Equal Opportunity Agreement
RD400-1.pdf
Yes
No
Fillable Printable
Form
RD 400-6
Compliance Statement
RD400-6.pdf
Yes
No
Fillable Printable
Form
RD 1924-9
Certificate of Contractor's Release
RD1924-0009.pdf
Yes
No
Fillable Printable
Form
RD 1924-10
Release by Claimants
RD1924-0010.pdf
Yes
No
Fillable Printable
Form
RD 1980-19
Guaranteed Loan Closing Report
RD1980-19.pdf
Yes
No
Fillable Printable
Form
RD 1980-41
Guaranteed Loan Status Report
RD1980-41.pdf
Yes
No
Fillable Printable
Form
RD 1980-44
Guaranteed Loan Borrower Deliquent Status
RD1980-0044.pdf
Yes
No
Fillable Printable
Form
RD 1980-43
Lender's Guaranteed Loan Payment to the Agency
RD1980-43.pdf
Yes
No
Fillable Printable
Form
RD 449-30
Loan Note Guarantee Report of Loss
RD449-30.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
575
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
12,065
0
0
-807
0
12,872
Annual IC Time Burden (Hours)
32,996
0
0
-724
0
33,720
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.