| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| USDA - RUS | 
 |  | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | OMB  No. | 
 | 
 | 
	
		| 
 | 
 | Telecommunication Engineering & Construction | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 0572-0059 | 
 | 
	
		| SUMMARY  OF  INFORMATION  COLLECTION | 
 | Contracts | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | Date  Prepared | 
 | 
 | 
	
		| 
 | 
 |  | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | December-07 | 
	
		| INSTRUCTIONS: |  | 
 | > | (f)  TOTAL | 
 | (h)  TOTAL | 
 | 
 | 
 | 
 | (k)  TOTAL | 
 | 
 | 
	
		| Use this form when a single information collection document involves multiple reporting and | 
 | 
 | > | - | = (e)  Average | - | = (g)  Average | 
 | 
 | 
 | - | = (j) Average |  | 
	
		| recordkeeping requirements. | 
 | 
 | > | (d)  TOTAL | 
 | (f)  TOTAL | 
 | 
 | 
 | 
 | (i)  TOTAL | 
 | 
 | 
	
		| IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS | 
 | 
 | 
 | 
 | 
 | ANNUAL  BURDEN | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | FORM | 
 | 
 | PREVIOUS PACKAGE | 
 | 
 | 
 | 
 | CURRENT REQUEST | 
 | 
 | Change from Previous to Current | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | 
	
		| SECTION  OF | 
 | (If  "none" | RESPON- | RESPONSES | ANNUAL | PER | HOURS | RESPON- | RESPONSES | ANNUAL | PER | HOURS | 
	
		| REGULATIONS | DESCRIPTION | so  state) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  g) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  i) | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | (Col.  j  - h) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (d) | (e) | (f) | (i) | (j) | (k) | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Construction Certification Program | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Construction Work Plan and Cost Distribution | 157 | 32 | 1 | 32 | 3.00 | 96.00 | 32 | 1 | 32 | 12.00 | 384.00 | 288.00 | 
	
		| Subpart J | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Certification of Contractor or Force Account Proposal | 158 | 32 | 4 | 128 | 0.50 | 64.00 | 32 | 4 | 128 | 3.00 | 384.00 | 320.00 | 
	
		| Subpart J | Approval | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Summary of Completed Construction | 159 | 32 | 4 | 128 | 0.50 | 64.00 | 32 | 4 | 128 | 6.00 | 768.00 | 704.00 | 
	
		| Subpart J | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Certification Borrower Contract Addendum | N/A | 
 | 
 | 
 | 
 | 
 | 32 | 4 | 128 | 1.00 | 128.00 | 128.00 | 
	
		| Subpart J | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753, 1788 | Contractor's Bond | 168b | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753, 1788 | Contractor's Bond (less than $1 million) | 168c | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Architects and Engineers Qualifications | 179 | 4 | 1 | 4 | 2.00 | 8.00 | 4 | 1 | 4 | 2.00 | 8.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.30 | Certificate of Completion - Contract Construction for Building | 181 | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Closeout of Contract Form 257 for Building Construction. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Certificate ("Buy American") | 213 | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.48(g) | Construction Change Order | 216 | 22 | 1 | 22 | 0.25 | 5.50 | 22 | 1 | 22 | 1.00 | 22.00 | 16.00 | 
	
		| 
 | ●  When changes or correction are necessary the borrower's | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | engineer will prepare a construction change order.  A copy | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | of each is attached to the construction inventory required | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | to close out the contract | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS | 
 | 
 | 
 | 
 | 
 | ANNUAL  BURDEN | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | FORM | 
 | 
 | PREVIOUS PACKAGE | 
 | 
 | 
 | 
 | CURRENT REQUEST | 
 | 
 | Change from Previous to Current | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | 
	
		| SECTION  OF | 
 | (If  "none" | RESPON- | RESPONSES | ANNUAL | PER | HOURS | RESPON- | RESPONSES | ANNUAL | PER | HOURS | 
	
		| REGULATIONS | DESCRIPTION | so  state) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  g) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  i) | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | (Col.  j  - h) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (d) | (e) | (f) | (i) | (j) | (k) | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Engineering and Architectural Services | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753 | Postloan Engineering Service Contract | 217 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| Subpart B | ●  Approval of Postloan Engineering Service Contract | 
 | 45 | 1 | 45 | 1.00 | 45.00 | 45 | 1 | 45 | 7.00 | 315.00 | 270.00 | 
	
		| 
 | ●  Approval of Postloan Engineering… - Broadband Program | 
 | 50 | 1 | 50 | 1.00 | 50.00 | 50 | 1 | 50 | 7.00 | 350.00 | 300.00 | 
	
		| 
 | The Postloan Engr. Serv. Contract inclds. using the following forms: | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 217a-Project Design, Assistance and Coordination: | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 217b-Central Office Equipment Engineering Services; | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 217c-Transmission Facilities Engineering Services; | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 217d-Building Engineering Services; | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 217e-Outside Plant Staking Services; | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 217f-Outside Plant Contract Doc. Phase Engr. Servs. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 217g-Outside Plant Construction Phase Engr. Servs. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | ●  Approval of Postloan Engineering Service Contract | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| Subpart B | Architectural Services Contract | 220 | Form approved under OMB Docket No. 0572-0118 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.30, | Waiver and Release of Lien | 224 | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 39, 49 | ●  Closeout of Contract Form 257 for building construction | 
 | 
 |  |  |  |  | 
 |  |  |  |  | 
 | 
	
		| 
 | ●  Closeout of major outside plant contraction by contract | 
 | 
 |  |  |  |  | 
 |  |  |  |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.30, | Certificate of Contractor | 231 | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 39, 49 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.11, | Construction of Equipment Contract Amendment | 238 | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 28, 38, 68 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Miscellaneous Engineering Services Forms | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Assignment of Engineering Service Contract | 242 | 3 | 1 | 3 | 0.50 | 1.50 | 3 | 1 | 3 | 0.50 | 1.50 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.15, | Engineering Service Contract - Special Services - Telephone | 245 | 4 | 1 | 4 | 0.50 | 2.00 | 4 | 1 | 4 | 0.75 | 3.00 | 1.00 | 
	
		| 81 | ●  Engineering services for minor construction may be | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | contracted using Form 245 (This contract form does not | 
 | 
 | 
 |  |  |  | 
 | 
 |  |  |  | 
 | 
	
		| 
 | require RUS approval). | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Contract to Construct Building | 257 | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| Subpart D | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| RE Act | Equal Opportunity Addendum | 270 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| NAFTA | ●  Form 773 issued for minor construction by contract. | 
 | 135 | 1 | 135 | 0.25 | 33.75 | 135 | 1 | 135 | 0.25 | 33.75 | 0.00 | 
	
		| 
 | ●  Form 773, small scale constuction - Broadband Program | 
 | 150 | 1 | 150 | 0.25 | 37.50 | 150 | 1 | 150 | 0.25 | 37.50 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS | 
 | 
 | 
 | 
 | 
 | ANNUAL  BURDEN | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | FORM | 
 | 
 | PREVIOUS PACKAGE | 
 | 
 | 
 | 
 | CURRENT REQUEST | 
 | 
 | Change from Previous to Current | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | 
	
		| SECTION  OF | 
 | (If  "none" | RESPON- | RESPONSES | ANNUAL | PER | HOURS | RESPON- | RESPONSES | ANNUAL | PER | HOURS | 
	
		| REGULATIONS | DESCRIPTION | so  state) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  g) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  i) | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | (Col.  j  - h) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (d) | (e) | (f) | (i) | (j) | (k) | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.49 | Bidder's Qualifications | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | ●  Submission of bidders' qualifications to the borrower and its | 274 | 9 | 1 | 9 | 0.50 | 4.50 | 9 | 1 | 9 | 1.00 | 9.00 | 4.50 | 
	
		| 
 | engineer. | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.49 | Bidder's Qualifications for Buried Plant Construction | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | ●  Submission of bidders' qualifications to the borrower and its | 276 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | engineer. | 
 | 9 | 1 | 9 | 0.50 | 4.50 | 9 | 1 | 9 | 1.00 | 9.00 | 4.50 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 175349 | Tabulation of Materials Furnished by Borrower | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | ●  Closeout of major outside plans construction by contract. | 281 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 0 | 1 | 0 | 0.25 | 0.00 | 0 | 1 | 0 | 2.00 | 0.00 | 0.00 | 
	
		| 1753.8(b) | Subcontracts (Under Construction or Equipment) | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | ●  Approval of subcontracts (per 1753.8(b)) | 282 | 85 | 1 | 85 | 0.50 | 42.50 | 32 | 1 | 32 | 0.75 | 24.00 | -18.50 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.16 | Certificate of Architect | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | ●  Approval of final statement of cost-architectural services | 284 | 5 | 1 | 5 | 0.50 | 2.50 | 5 | 1 | 5 | 0.50 | 2.50 | 0.00 | 
	
		| 
 | ●  Approval of final statement… - Broadband Program | 284 | 6 | 1 | 6 | 0.50 | 3.00 | 6 | 1 | 6 | 0.50 | 3.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Bid Bond | 307 | Form approved under OMB Docket No. 0572-0107 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1737 | Interim Financing Construction | 375 | 
 | 
 |  |  |  | 
 | 
 |  |  |  | 
 | 
	
		| Subpart E | Telecommunications Program | 
 | 69 | 1 | 69 | 0.05 | 3.45 | 69 | 1 | 69 | 0.25 | 17.25 | 13.80 | 
	
		| 
 | Broadband Program | 
 | 37 | 1 | 37 | 0.05 | 1.85 | 37 | 1 | 37 | 0.25 | 9.25 | 7.40 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.38 | Software License Agreement | 390 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | Telecommunications Program | 
 | 9 | 1 | 9 | 1.00 | 9.00 | 9 | 1 | 9 | 1.00 | 9.00 | 0.00 | 
	
		| 
 | Broadband Program | 
 | 10 | 1 | 10 | 1.00 | 10.00 | 10 | 1 | 10 | 1.00 | 10.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS | 
 | 
 | 
 | 
 | 
 | ANNUAL  BURDEN | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | FORM | 
 | 
 | PREVIOUS PACKAGE | 
 | 
 | 
 | 
 | CURRENT REQUEST | 
 | 
 | Change from Previous to Current | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | 
	
		| SECTION  OF | 
 | (If  "none" | RESPON- | RESPONSES | ANNUAL | PER | HOURS | RESPON- | RESPONSES | ANNUAL | PER | HOURS | 
	
		| REGULATIONS | DESCRIPTION | so  state) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  g) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  i) | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | (Col.  j  - h) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (d) | (e) | (f) | (i) | (j) | (k) | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Special Equipment Purchases | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.68 | Certificate of Completion, Special Equipment Contract | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | (Including Installation) | 396 | 0 | 1 | 0 | 0.25 | 0.00 | 0 | 1 | 0 | 1.50 | 0.00 | 0.00 | 
	
		| 
 | ●  Closeout of the equipment contract 397. | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.68 | Certificate of Completion, Special Equipment Contract | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | (Including Installation) | 396a | 0 | 1 | 0 | 0.25 | 0.00 | 0 | 1 | 0 | 1.50 | 0.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | Special Equipment Contract (Including Installation) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.67 | ●  Approval of plans & specification | 397 | 68 | 1 | 68 | 1.00 | 68.00 | 68 | 1 | 68 | 5.00 | 340.00 | 272.00 | 
	
		| 1753.68 | ●  Approval of the contract for purchase of initial equipment | 
 | 45 | 1 | 45 | 1.00 | 45.00 | 45 | 1 | 45 | 1.50 | 67.50 | 22.50 | 
	
		| 1753.68 | ●  Approval of the contract for purchase of equipment additions. | 
 | 9 | 1 | 9 | 1.00 | 9.00 | 9 | 1 | 9 | 1.50 | 13.50 | 4.50 | 
	
		| 1753.68 | ●  Approval of contract for the purchase of new | 
 | 14 | 1 | 14 | 1.00 | 14.00 | 14 | 1 | 14 | 1.50 | 21.00 | 7.00 | 
	
		| 
 | system additions of equipment. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | The burden hours for the following forms are already accounted for under | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 397.  The Forms are as follows: | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 397b – Design Specifications for Trunk Carrier Systems | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 397c – Design Specifications for Subscriber Carrier Systems | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 397d - Design Specifications for Point-to-Point Microwave Systems | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 397g - Specifications for Line Concentrators | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | RUS Form 397h – Design Specifications for Digital Lightwave Transmission Systems | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Broad band | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | ●  Approval of plans & specification | 
 | 118 | 1 | 118 | 1.00 | 118.00 | 118 | 1 | 118 | 6.00 | 708.00 | 590.00 | 
	
		| 
 | ●  Approval of the contract for purchase of initial equipment | 
 | 104 | 1 | 104 | 1.00 | 104.00 | 104 | 1 | 104 | 3.00 | 312.00 | 208.00 | 
	
		| 
 | ●  Approval of contract for the purchase of new | 
 | 14 | 1 | 14 | 1.00 | 14.00 | 14 | 1 | 14 | 3.00 | 42.00 | 28.00 | 
	
		| 
 | system additions of equipment. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | Special Equipment Contract (Not Including Installation) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.67 | ●  Approval of plans & specification | 398 | 26 | 1 | 26 | 1.00 | 26.00 | 26 | 1 | 26 | 1.00 | 26.00 | 0.00 | 
	
		| 1753.68 | ●  Approval of the contract for purchase of initial equipment | 
 | 18 | 1 | 18 | 1.00 | 18.00 | 18 | 1 | 18 | 1.00 | 18.00 | 0.00 | 
	
		| 1753.68 | ●  Approval of the contract for purchase of equipment additions. | 
 | 4 | 1 | 4 | 1.00 | 4.00 | 4 | 1 | 4 | 1.00 | 4.00 | 0.00 | 
	
		| 1753.68 | ●  Approval of the contract for the purchase of new | 
 | 4 | 1 | 4 | 1.00 | 4.00 | 4 | 1 | 4 | 1.00 | 4.00 | 0.00 | 
	
		| 
 | system additions of equipment. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1744.66 | Financial Requirements Statement | 481 | Form approved under OMB Docket No. 0572-0023 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Statement of Engineering Fees - Telecommunications | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.17 | ●  Estimates | 506 | 45 | 1 | 45 | 0.50 | 22.50 | 45 | 1 | 45 | 6.00 | 270.00 | 247.50 | 
	
		| 
 | ●  Estimates - Broadband Program | 
 | 50 | 1 | 50 | 0.50 | 25.00 | 50 | 1 | 50 | 6.00 | 300.00 | 275.00 | 
	
		| 1753.17 | ●  Final | 
 | 45 | 1 | 45 | 0.50 | 22.50 | 45 | 1 | 45 | 6.00 | 270.00 | 247.50 | 
	
		| 
 | ●  Final - Broadband Program | 
 | 50 | 1 | 50 | 0.50 | 25.00 | 50 | 1 | 50 | 6.00 | 300.00 | 275.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS | 
 | 
 | 
 | 
 | 
 | ANNUAL  BURDEN | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | FORM | 
 | 
 | PREVIOUS PACKAGE | 
 | 
 | 
 | 
 | CURRENT REQUEST | 
 | 
 | Change from Previous to Current | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | 
	
		| SECTION  OF | 
 | (If  "none" | RESPON- | RESPONSES | ANNUAL | PER | HOURS | RESPON- | RESPONSES | ANNUAL | PER | HOURS | 
	
		| REGULATIONS | DESCRIPTION | so  state) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  g) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  i) | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | (Col.  j  - h) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (d) | (e) | (f) | (i) | (j) | (k) | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Major Outside Plant Construction | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 |  |  |  |  |  |  |  |  |  |  | 
 | 
	
		| 
 | Telephone System Construction Contract (Labor and Materials) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.47 | ●  Approval of plans and specifications for major outside | 515 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | plant construction by contract | 
 | 91 | 1 | 91 | 1.00 | 91.00 | 91 | 1 | 91 | 4.00 | 364.00 | 273.00 | 
	
		| 1753.48 | ●  Approval of the outside plant contract | 
 | 68 | 1 | 68 | 1.50 | 102.00 | 68 | 1 | 68 | 6.00 | 408.00 | 306.00 | 
	
		| 
 | ●  Approval of plans and specifications for major outside | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | plant construction by contract - Broadband Program | 
 | 100 | 1 | 100 | 1.00 | 100.00 | 100 | 1 | 100 | 8.00 | 800.00 | 700.00 | 
	
		| 
 | ●  Approval of the outside plant contract - Broadband | 
 | 75 | 1 | 75 | 1.50 | 112.50 | 75 | 1 | 75 | 4.00 | 300.00 | 187.50 | 
	
		| 1753.48 | ●  Owner-Furnished Materials |  | Information included under RUS Form 787 below. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.48 | ●  Approval of negotiated contracts | 
 | 23 | 1 | 23 | 1.00 | 23.00 | 23 | 1 | 23 | 2.00 | 46.00 | 23.00 | 
	
		| 
 | ●  Approval of negotiated contracts - Broadband | 
 | 25 | 1 | 25 | 1.50 | 37.50 | 25 | 1 | 25 | 4.00 | 100.00 | 62.50 | 
	
		| 
 | ●  Owner-Furnished Materials - Broadband |  | Information included under RUS Form 787 below. | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.39 | Results of Acceptance Test | 517 | 0 | 1 | 0 | 1.00 | 0.00 | 0 | 1 | 0 | 1.00 | 0 | 0 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.57 | Biweekly Progress Report of Telephone Construction | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | and Engineering Service | 521 | 0 | 1 | 0 | 0.50 | 0.00 | 0 | 1 | 0 | 1.00 | 0 | 0 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Central Office Equipment Purchases | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | (Including Installation) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Central Office Equipment Contract (Including Installation) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| Subpart E | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.37 | ●  Approval of plans & specs for purchase of COE by bid | 525 | 14 | 1 | 14 | 5.00 | 70.00 | 14 | 1 | 14 | 12.00 | 168.00 | 98.00 | 
	
		| 1753.38 | ●  Approval of COE contract | 
 | 14 | 1 | 14 | 1.00 | 14.00 | 14 | 1 | 14 | 2.00 | 28.00 | 14.00 | 
	
		| 1753.37 | ●  Approval of Plans & specs for single source procurement | 
 | 23 | 1 | 23 | 5.00 | 115.00 | 23 | 1 | 23 | 6.00 | 138.00 | 23.00 | 
	
		| 1753.38 | ●  Approval of negotiated proposal | 
 | 23 | 1 | 23 | 0.75 | 17.25 | 23 | 1 | 23 | 2.00 | 46.00 | 28.75 | 
	
		| 1753.38 | ●  Approval of the negotiated contract | 
 | 23 | 1 | 23 | 1.00 | 23.00 | 23 | 1 | 23 | 1.00 | 23.00 | 0.00 | 
	
		| 1753.38 | ●  Approval of supplier's proposal for additions to COE | 
 | 18 | 1 | 18 | 0.75 | 13.50 | 18 | 1 | 18 | 4.00 | 72.00 | 58.50 | 
	
		| 1753.38 | ●  Approval of COE contract for additions | 
 | 18 | 1 | 18 | 5.00 | 90.00 | 18 | 1 | 18 | 5.00 | 90.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Statement of Construction Telephone System - Outside Plant | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| Subpart E | ●  Closeout of major outside plant construction by contract | 527 | 0 | 1 | 0 | 0.25 | 0.00 | 0 | 1 | 0 | 1.25 | 0.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS | 
 | 
 | 
 | 
 | 
 | ANNUAL  BURDEN | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | FORM | 
 | 
 | PREVIOUS PACKAGE | 
 | 
 | 
 | 
 | CURRENT REQUEST | 
 | 
 | Change from Previous to Current | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | 
	
		| SECTION  OF | 
 | (If  "none" | RESPON- | RESPONSES | ANNUAL | PER | HOURS | RESPON- | RESPONSES | ANNUAL | PER | HOURS | 
	
		| REGULATIONS | DESCRIPTION | so  state) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  g) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  i) | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | (Col.  j  - h) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (d) | (e) | (f) | (i) | (j) | (k) | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Central Office Equipment Purchases | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | (Not Including Installation) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Central Office Equipment Contract (Not Including Installation) | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| Subpart E | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.37 | ●  Approval of plans & specs for purchase of COE by bid | 545 | 2 | 1 | 2 | 5.00 | 10.00 | 2 | 1 | 2 | 7.00 | 14.00 | 4.00 | 
	
		| 1753.38 | ●  Approval of COE contract | 
 | 2 | 1 | 2 | 1.00 | 2.00 | 2 | 1 | 2 | 3.00 | 6.00 | 4.00 | 
	
		| 1753.38 | ●  Approval of plans & specs for single source procurement | 
 | 5 | 1 | 5 | 5.00 | 25.00 | 5 | 1 | 5 | 7.00 | 35.00 | 10.00 | 
	
		| 1753.38 | ●  Approval of COE contract -single source | 
 | 5 | 1 | 5 | 1.00 | 5.00 | 5 | 1 | 5 | 3.00 | 15.00 | 10.00 | 
	
		| 1753.38 | ●  Approval of negotiated proposal | 
 | 5 | 1 | 5 | 0.75 | 3.75 | 5 | 1 | 5 | 4.00 | 20.00 | 16.25 | 
	
		| 1753.37 | ●  Approval of plans & specs - -negotiated proposals | 
 | 5 | 1 | 5 | 5.00 | 25.00 | 5 | 1 | 5 | 7.00 | 35.00 | 10.00 | 
	
		| 1753.38 | ●  Approval of the negotiated contract | 
 | 5 | 1 | 5 | 1.00 | 5.00 | 5 | 1 | 5 | 3.00 | 15.00 | 10.00 | 
	
		| 1753.38 | ●  Approval of supplier's proposal for additions to COE | 
 | 5 | 1 | 5 | 0.75 | 3.75 | 5 | 1 | 5 | 4.00 | 20.00 | 16.25 | 
	
		| 1753.38 | ●  Approval of COE contract for additions | 
 | 5 | 1 | 5 | 1.00 | 5.00 | 5 | 1 | 5 | 1.00 | 5.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1744.66 | Certification of Authority | 675 | Form approved under OMB Docket No. 0572-0023 | 
 | 
 | 
 | 
 | Form approved under OMB Docket No. 0572-0023 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Miscellaneous Outside Plant Construction Forms | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.49 | Final Inventory, Telephone Construction Contract | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | (Labor and Materials) | 724 | 0 | 1 | 0 | 0.17 | 0.00 | 143 | 1 | 143 | 0.75 | 107.25 | 107.25 | 
	
		| 
 | ●  Closeout of major outside plant construction by contract | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.49 | Final Inventory, Telephone Construction Contract | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | (Labor and Materials) - Detailed | 724a | 0 | 1 | 0 | 0.75 | 0.00 | 143 | 1 | 143 | 3.00 | 429.00 | 429.00 | 
	
		| 
 | ●  Tabulation of Assembly Units | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.49 | Final Inventory, Telephone Construction Contract | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | (Labor and Materials) - Detailed | 724b | 0 | 1 | 0 | 0.75 | 0.00 | 0 | 1 | 0 | 0.75 | 0.00 | 0.00 | 
	
		| 
 | ●  Removals | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.78 | Certificate of Contractor and Indemnity Agreement | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | (Line Extensions) | 743 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | ●  Upon completion and inspection the borrower obtains | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | from the contractor a final invoice and Form 743 | 
 | 0 | 1 | 0 | 0.50 | 0.00 | 0 | 1 | 0 | 0.50 | 0.00 | 0.00 | 
	
		| 
 | ●  Upon completion and inspection the borrower obtains | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | from the contractor a final invoice and Form 743 - Broadband | 
 | 0 | 1 | 0 | 0.50 | 0.00 | 0 | 1 | 0 | 0.50 | 0.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.68 | Certificate of Contractor and Indemnity Agreement | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | ●  Closeout of the equipment contract 397 | 744 | 0 | 1 | 0 | 0.50 | 0.00 | 0 | 1 | 0 | 0.50 | 0.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.39 | Certificate of Completion Central Office Equipment | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | (Not Including Installation) | 752a | 0 | 1 | 0 | 0.50 | 0.00 | 0 | 1 | 0 | 0.50 | 0.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS | 
 | 
 | 
 | 
 | 
 | ANNUAL  BURDEN | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | FORM | 
 | 
 | PREVIOUS PACKAGE | 
 | 
 | 
 | 
 | CURRENT REQUEST | 
 | 
 | Change from Previous to Current | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | 
	
		| SECTION  OF | 
 | (If  "none" | RESPON- | RESPONSES | ANNUAL | PER | HOURS | RESPON- | RESPONSES | ANNUAL | PER | HOURS | 
	
		| REGULATIONS | DESCRIPTION | so  state) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  g) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  i) | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | (Col.  j  - h) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (d) | (e) | (f) | (i) | (j) | (k) | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Contract Closeout Certification | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.18 | ● Non-form certification | N/A | 275 | 1 | 275 | 0.05 | 13.75 | 275 | 1 | 275 | 0.50 | 137.50 | 123.75 | 
	
		| 
 | ● Broadband Program | 756 | 238 | 1 | 238 | 0.05 | 11.90 | 238 | 1 | 238 | 0.50 | 119.00 | 107.10 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.81-82 | Summary of Work Order | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | Inspection by GFR | 771 | 10 | 5 | 50 | 0.50 | 25.00 | 10 | 5 | 50 | 0.50 | 25.00 | 0.00 | 
	
		| 
 | Inspection by licensed Engineer or Borrower's Staff Engineer | 771a | 170 | 5 | 850 | 0.50 | 425.00 | 170 | 5 | 850 | 0.50 | 425.00 | 0.00 | 
	
		| 
 | Broadband Program | 771a | 200 | 5 | 1000 | 0.50 | 500.00 | 200 | 5 | 1000 | 0.50 | 500.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753 | Miscellaneous Construction Work and Maintenance | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | Service Contract | 773 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | ●  Issued for minor construction by contract | 
 | 135 | 1 | 135 | 0.50 | 67.50 | 135 | 1 | 135 | 2.00 | 270.00 | 202.50 | 
	
		| 
 | ●  Issued for  small-scale construction -Broadband Program | 
 | 150 | 1 | 150 | 0.50 | 75.00 | 150 | 1 | 150 | 3.00 | 450.00 | 375.00 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.48 (f) | Supplement A to Construction Contract RUS Form 515 | 787 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | ●  Approval  for the borrower to furnished materials for  outside | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | plant construction by contract | 
 | 18 | 1 | 18 | 0.25 | 4.50 | 18 | 1 | 18 | 0.25 | 4.50 | 0.00 | 
	
		| 
 | ●  Approval  for the borrower to furnished materials for  outside | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | plant construction by contract - Broadband | 
 | 10 | 1 | 10 | 0.25 | 2.50 | 10 | 1 | 10 | 0.25 | 2.50 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.58 | Telephone Force Account Construction - Final Inventory | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | Closeout of major outside plant construction by force account | 817 | 0 | 1 | 0 | 0.50 | 0.00 | 0 | 1 | 0 | 2.00 | 0.00 | 0.00 | 
	
		| 
 | 
 | 817a | 0 | 1 | 0 | 1.00 | 0.00 | 0 | 1 | 0 | 2.00 | 0.00 | 0.00 | 
	
		| 
 | 
 | 817b | 0 | 1 | 0 | 1.00 | 0.00 | 0 | 1 | 0 | 2.00 | 0.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.15 | Preloan Engineering Service Contract, Telephone | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| (a)(2) | System Design | 835 | 0 | 1 | 0 | 0.75 | 0.00 | 0 | 1 | 0 | 0.75 | 0.00 | 0.00 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.80 (g) | Minor construction - request to establish a work order fund | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | for specific construction project | n/a | 3 | 1 | 3 | 0.25 | 0.75 | 3 | 1 | 3 | 2.00 | 6.00 | 5.25 | 
	
		| 
 | Minor construction - request to establish a work order fund | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | for specific construction project - Broadband | n/a | 4 | 1 | 4 | 0.25 | 1.00 | 4 | 1 | 4 | 2.00 | 8.00 | 7.00 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.27 | Construction of building - award of contract | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | n/a | 18 | 1 | 18 | 0.75 | 13.50 | 18 | 1 | 18 | 2.00 | 36.00 | 22.50 | 
	
		| 1753.48 (a) | Outside plant major construction - award of construction in | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | accordance with procedures | n/a | 7 | 1 | 7 | 0.75 | 5.25 | 7 | 1 | 7 | 1.50 | 10.50 | 5.25 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.48 (b) | Outside plant major construction - RUS approval of negotiated | n/a | 23 | 1 | 23 | 1.50 | 34.50 | 23 | 1 | 23 | 1.50 | 34.50 | 0.00 | 
	
		| 
 | proposals | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.68 (b) | Special  equipment  - approval of the | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | proposal for initial purchase of equipment | n/a | 18 | 1 | 18 | 0.75 | 13.50 | 18 | 1 | 18 | 1.50 | 27.00 | 13.50 | 
	
		| 
 | Core network and access equipment  - approval of the | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | proposal for initial purchase of equipment - Broadband | n/a | 20 | 1 | 20 | 0.75 | 15.00 | 20 | 1 | 20 | 1.50 | 30.00 | 15.00 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS | 
 | 
 | 
 | 
 | 
 | ANNUAL  BURDEN | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | FORM | 
 | 
 | PREVIOUS PACKAGE | 
 | 
 | 
 | 
 | CURRENT REQUEST | 
 | 
 | Change from Previous to Current | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | 
	
		| SECTION  OF | 
 | (If  "none" | RESPON- | RESPONSES | ANNUAL | PER | HOURS | RESPON- | RESPONSES | ANNUAL | PER | HOURS | 
	
		| REGULATIONS | DESCRIPTION | so  state) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  g) | DENTS | PER | RESPONSES | RESPONSE | (Col.  f  &  i) | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | (Col.  j  - h) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (d) | (e) | (f) | (i) | (j) | (k) | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1753.36 | Core network and access equipment - request for approval | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | to negotiate for the purpose of standardization on a | n/a | 18 | 1 | 18 | 0.25 | 4.50 | 18 | 1 | 18 | 1.25 | 22.50 | 18.00 | 
	
		| 
 | system basis | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | Core network and access equipment - request for approval | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | to negotiate for the purpose of standardization on a | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | system basis | n/a | 20 | 1 | 20 | 0.25 | 5.00 | 20 | 1 | 20 | 1.50 | 30.00 | 25.00 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.3 | During the preconstruction review, obtain approval for any | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | construction that does not conform to RUS standards and | n/a | 18 | 1 | 18 | 0.50 | 9.00 | 18 | 1 | 18 | 1.50 | 27.00 | 18.00 | 
	
		| 
 | specifications or the approved Loan Design | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 1753.6 | Approval to use other than new or nonstandard materials | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | and equipment | n/a | 18 | 1 | 18 | 0.50 | 9.00 | 18 | 1 | 18 | 1.50 | 27.00 | 18.00 | 
	
		| 
 | Approval to use other than new or nonstandard materials | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | and equipment - Broadband | n/a | 20 | 1 | 20 | 0.50 | 10.00 | 20 | 1 | 20 | 1.00 | 20.00 | 10.00 | 
	
		| 
 |  | 
 | 
 | 
 |  | 
 |  | 
 | 
 |  | 
 |  | 
 | 
	
		| 
 | TOTALS | 
 | 513 | 10 | 5,021 | 0.63 | 3,146.95 | 513 | 10 | 5,382 | 3.41 | 10,720.00 | 7,572.55 |