RUS Electric Loan Application and Related Reporting Burden

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD-1047 Certification Regarding Debarment	Form	Modified	Available
Form 325 Long Range Financial Forecast	Form	Modified	Available
Form 7 Financial and Statistical Report	Form	Modified	Available
Form 266 Compliance Assurance	Form	Modified	Repair queued
Form 12 Operating Report	Form	Modified	Available
Form SF-LL Disclosure of Lobbying Activities	Form	Modified	Available
Form 740G Application for Headquarters Facilities	Form	Modified	Available
Form 726 Borrower Checklist	Form	Modified	Available
Form 740C Cost Estimates and Loan Budget for Electric Borrowers	Form	Modified	Available
Form SF-100 Equal Employment Opportunity Employer Report	Form	Modified	Available
SS 0032.doc	Supporting Statement A	Uploaded 2006-11-14	Available
DCS justification.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2006-09-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Certification Regarding Debarment
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Long Range Financial Forecast
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Financial and Statistical Report
1777	RUS Electric Loan Application and Related Reporting Burden	Other-System Print	Modified
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Compliance Assurance
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Operating Report
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Disclosure of Lobbying Activities
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Application for Headquarters Facilities
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Borrower Checklist
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Cost Estimates and Loan Budget for Electric Borrowers
1777	RUS Electric Loan Application and Related Reporting Burden	Form	Modified	Equal Employment Opportunity Employer Report

ICR Details

OMB Control No: 0572-0032	ICR Reference No: 200611-0572-010
Status: Historical Active	Previous ICR Reference No: 200609-0572-001
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: RUS Electric Loan Application and Related Reporting Burden
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/14/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/14/2006
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2008	04/30/2008	04/30/2008
Responses	4,413	0	4,413
Time Burden (Hours)	65,717	0	65,717
Cost Burden (Dollars)	0	0	0

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Abstract: These forms and documents serve as support for electric loan applications and summarizes the types and estimated costs of facilities and equipment for which RUS financing is being requested.

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Authorizing Statute(s): None

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
RUS Electric Loan Application and Related Reporting Burden	7, 12, 266, 325, 726, 740C, 740G, SF-100, SF-LL, AD-1047	Cost Estimates and Loan Budget for Electric Borrowers ,   Borrower Checklist ,   Application for Headquarters Facilities ,   Disclosure of Lobbying Activities ,   Operating Report ,   Equal Employment Opportunity Employer Report ,   Compliance Assurance ,   Financial and Statistical Report ,   Long Range Financial Forecast ,   Certification Regarding Debarment

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ICR Summary of Burden

table that charts list 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	4,413	4,413	0	0	0	0
Annual Time Burden (Hours)	65,717	65,717	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: $0

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 11/14/2006

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