OMB Control No:  0572-0059ICR Reference No: 
200710-0572-001 
Status:  Historical ActivePrevious ICR Reference No:  200605-0572-001  
Agency/Subagency:  USDA/RUSAgency Tracking No:  
Title:  Telecommunications System
Construction Policies and Procedures 
Type of Information Collection: 
Revision of a currently approved collectionCommon Form ICR:   No 
Type of Review Request:  Regular 
OIRA Conclusion Action:  Approved
without changeConclusion Date:  03/17/2008 
Retrieve
Notice of Action (NOA) Date Received in OIRA: 
12/14/2007 
Terms of Clearance:  
  
Inventory as of this Action 
Requested 
Previously Approved 
 
Expiration Date 03/31/2011 
36 Months From Approved 
03/31/2008 
 
Responses 5,382 
0 
5,098 
 
Time Burden (Hours) 10,720 
0 
3,147 
 
Cost Burden (Dollars) 0 
0 
0 
 
 
Abstract:  In order to facilitate the
programmatic interest of the RE act, and, in order to assure that
loans made or guaranteed by RUS are adequately secured, RUS, as a
secured lender, has established certain forms for materials,
equipment and construction of telecommunications systems. The use
of standard forms, construction contracts, and procurement
procedures help assure RUS that appropriate standards and
specifications are maintained, RUS' loan security is not adversely
affected; and the loan and loan guarantee funds are used
effectively and for the intended purposes. 
 
Authorizing Statute(s):   US Code:
7 USC
901  Name of Law: RE Act 
Citations for New Statutory
Requirements:  None 
 
Associated Rulemaking
Information  
RIN: Stage of Rulemaking: Federal Register Citation: Date:  
Not associated with rulemaking 
 
 
Federal Register Notices &
Comments  
60-day Notice: Federal Register Citation: Citation Date:  
  
72 FR
37511 07/10/2007 
 
30-day Notice: Federal Register Citation: Citation Date:  
72 FR
240 12/14/2007 
 
Did the Agency receive public comments on
this ICR?  No 
 
Number of Information Collection (IC) in this
ICR:  1  
IC Title 
Form No. 
Form Name 
 
Telecommunications
System Construction Policies and Procedures 276, 284, 375, 390, 396, 396a, 397 with b-h, 398, 506, 515,
517, 521, 525, 527, 545, 282, 281, 157, 158, 159, 216, 217, 242,
245, 270, 274, 724, 724a, 724b, 743, 744, 752a, 756, 771, 817,
817b, 787, 817a, 835, 179, 771a, Form 773 
Preloan Engineering
Service Contract, Telephone System Design  ,   Summary of Work Orders  ,
  Miscellaneous
Construction Work and Maintenance Services Contract  ,  
Construction Work Plan
& Cost Distribution  ,   Certification of Contractor or
Force Account Proposal Approval  ,   Summary of Completed
Construction  ,   Architects and Engineers
Qualifications  ,   Construction and Change
Order  ,   Postloan Engineering Services
Contract-Telecommunications Systems  ,   Assignment of Engineering
Service Contract  ,   Engineering Service Contract,
Special Services-Telephone  ,   Equal Opportunity Addendum  ,
  Bidder's
Qualifications  ,   Bidder's Qualifications for
Buried Plant Construction  ,   Tabulation of Materials
Furnished by Borrower  ,   Subcontracts-(Under Construction
or Equipment Contracts  ,   Certificate of Architect  ,
  Interim Financing
Construction  ,   Software License Agreement  ,
  Certificate of
Completion, Special Equipment Contract (indlucding
installation)  ,   Certificate of Completion,
Special Equipment Contract (Not including installation)  ,
  Special Equipment
Contract (including installation)  ,   Special Equipment Contract (not
including installation)  ,   Statement of Engineering Fees-
Telecommunications  ,   Telephone System Construction
Contract(Labor & Materials)  ,   Results of Acceptance Tests 
,   BiWeekly
Progress Report of Telephone Construciton & Engineering
Services  ,   Central Office Equipment
Contract (Including installation)  ,   Statement of Construction
Telephone System-Outside Plant  ,   Central Office Equipment
Contract (not including installation)  ,   FInal Inventroy, Telephone
Construction Contract (Labor& Materials)  ,   Final Inventory, Telephone
Construction Cpmtract (Labor & Material)  ,   Final Inventory, Telephone
Construction Contract (Labor & Material)  ,   Certificate of Ocntractor &
Indemnity Agreement (Line Extensions)  ,   Certificate of Contractor and
Indemnity Agreement  ,   Certificate of Completion
Central Office equipment Contract (not including installation) 
,   Contract
Closeout Certification  ,   Summary of Work orders
(Inspection by Agency Field Engineer)  ,   Supplement A to Construction
Contract RUS Form 515  ,   Final Inventory, Telephone Force
Account Construction  ,   Final Inventory, Telephone Force
Account Construction  ,   Final Inventory, Telephone Force
Account Construction  
 
 
 
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 
5,382 
5,098 
0 
0 
284 
0 
 
Annual Time Burden (Hours) 
10,720 
3,147 
0 
0 
7,573 
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:  Forms response times were
reviewed and updated as necessary. As a result there is an
adjustment increase of 7,573 burden hours. 
Annual Cost to Federal Government:  $14,744 
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 
Agency Contact:  MaryPat Daskal 202-720-7853
[email protected]