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SYSTEMS AND ENERGY EFFICIENCY IMPROVEMENT PROJECTS  \u003Cbr>TOTAL PROJECT COSTS OF $80,000 OR LESS   |  |  |\n| --- | --- | --- |\n| NOTE:  The folowing statement is made in accordance with the Privacy Act of 1974(5 USC 552a)and the Paperwork Act of 1995,as amended.Theauthority for requesting the  \u003Cbr>folowing information is Section 9007 of the Agnicultural Act of 2014(Public Law 113-79).This information may be provided to other agencies,Internal Revenue Service,  \u003Cbr>Department of Justice,orother State and Federal law enforcement agencies,and in response to a court magistrate or administratiive tribunal.The provisions of criminal  \u003Cbr>and civl fraud statutes,ncluding 18 USC 286,287,371,641,1001;1014,15USC714m;and 31 USC3729,may be applicable to the information provided  \u003Cbr>SUBMIT THIS COMPLETED FORM TO THE USDA RURAL DEVELOPMENT OFFICE IN THE STATEIN WHICH THE PROJECT IS LOCATED.  \u003Cbr>Attached to this form are detailed Instructions for each section.Please refer to the Instructions for guidance when  \u003Cbr>completing this form.Use attachments as necessary.   |  |  |\n| I.A.Applicant Legal Name(Block 8a of SF 424):   |  |  |\n| “The purpose of these questions is to gather race,ethnicity,and sex infomation about persons who apply and participate in this USDA program.The information  \u003Cbr>provided will not be usedwhen reviewing the application or when determining eligibility to participate in this program.Theanswers provided are voluntary and are not  \u003Cbr>required to be considered a complete application.The information provided will be used to improve the operation of this program,to help USDA design additional  \u003Cbr>opportunities for program participation,and to monitor enforcement of laws that require equalaccess tothisprogram foreligible persons.Forenties,checkal that  \u003Cbr>apply.The information will be kept private to the extent permitted by law.   |  |  |\n| **I.B.What is Applicant's race(check all that apply)?  \u003Cbr>American Indian or Alaska Native  \u003Cbr>Asian  \u003Cbr>Black or African American  \u003Cbr>Native Hawaiian or  \u003Cbr>Othe Pacific Islander  \u003Cbr>White   | **1.C.What is Applicant's Sex?  \u003Cbr>Male  \u003Cbr>Female  \u003Cbr>**1.D.What is Applicant's Ethnicity?  \u003Cbr>Hispanic or Latino  \u003Cbr>Not Hispanic or Latino   | L.E.Is Applicant a Veteran?  \u003Cbr>Yes  \u003Cbr>No   |\n|  |  | 1.F.Is Applicant a member of a  \u003Cbr>Socially Disadvantaged group?  \u003Cbr>Yes  \u003Cbr>No   |\n\n# II.  Project Title(Block 15 of SF 424):\n\n\n| II.System for Awards Management(SAM)Registration:Provide a Unique Entity ldentifier (UEI)number upon successful SAM  \u003Cbr>UEI:  \u003Cbr>registration.   |\n| --- |\n| IV.Provide the name(s)for the Executive Director and person(s)who will be accepting or distributing Federal funds.   |\n| V.Type of Applicant(check one):   |\n| Applicant must certify to meeting the definition of either an Agricultural Producer or Rural Small Business,per 7 C.F.R.4280.103.   |\n| A.Applicant is applying as and hereby certifies to meeting the definition of (check one):   |\n| Agricultural Producer □ or Rural Small Business □   |\n| B.Provide primary North American Industry Classification System(NAICS)code for operation:   |\n| Corresponding NAICS size limitation:  \u003Cbr>NAICS Code:   |\n| VI.Applicant Description:Describe the ownership of the applicant,including:   |\n| A.The project's relationship to the applicant's operations.Describe how the proposed project fits into or operates separately from  \u003Cbr>the applicant's overallbusiness or agricultural production operation:   |\n\nA federal agency may not conduct or sponsor,and a person is not requiredto respond to,nor shalla person be subject to a penaltyfor faliure to comply with a colection of informatiansubject to the requrements of the Paperwork Reduction Act unless that colectian of informatian displaysa currently valid OMB Control Number.The OMB Control Numberfor thisinforma","cbCaiqyvinUtoT3D","https://ap.wps.com/l/cbCaiqyvinUtoT3D","pdf",1693016,9,"English","# Applicant Information\n## Race, Ethnicity, and Sex\n## Veteran and Socially Disadvantaged Status\n# Project Title and SAM Registration\n# Applicant Type and Industry Classification\n# Applicant Description and Ownership\n# Project Information and Eligibility Criteria","[{\"question\":\"What program and cost limit does this application cover?\",\"answer\":\"It is for the USDA Rural Energy for America Program for renewable energy systems and energy efficiency improvement projects, with total project costs of $80,000 or less.\"},{\"question\":\"What applicant details are collected in the form?\",\"answer\":\"The form requests the applicant’s legal name and questions about race, ethnicity, sex, veteran status, and whether the applicant is a member of a socially disadvantaged group.\"},{\"question\":\"What eligibility and certification information is required?\",\"answer\":\"Applicants must provide project title, SAM registration UEI after successful registration, certify the applicant type (Agricultural Producer or Rural Small Business), provide NAICS code and size limitation, and include project eligibility details under the stated REAP federal grant criteria.\"}]","APPLICATION FOR RENEWABLE ENERGY SYSTEMS AND ENERGY EFFICIENCY IMPROVEMENT PROJECTS - Application Form - USDA | PDF",1789811996]