Preloan Procedures and Requirements for Telecommunications Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 507 Preloan Procedures and Requirements for Telecommunications Program	Form	Modified	Available
Form 291 Supplementary informaiton and toll settlement data - Certification of Nonsegregated Facilities	Form	Modified	Repair queued
Form 569 General Information & Area Coverage Survey (ACS)	Form	Modified	Repair queued
Form 495 Construction Costs Estimates	Form	Modified	Available
Form 494 Loan Design Summary	Form	Modified	Available
Form 490 Application for Telecommunications Loan or Loan Guarantee	Form	Modified	Repair queued
SS-0079(09)Rev.doc	Supporting Statement A	Uploaded 2010-03-25	Available
Spreadsheet(09)rev.xls	Supplementary Document	Uploaded 2010-03-24	Available
7 CFR 1737 - Preloan Procedures & Req. for Telecom. Program.pdf	Supplementary Document	Uploaded 2006-09-28	Repair queued
7 CFR1735 -Preloan Procedures & Req. for Telecom. Program.pdf	Supplementary Document	Uploaded 2006-09-28	Available
rea of 1936.pdf	Supplementary Document	Uploaded 2006-09-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1793	Preloan Procedures and Requirements for Telecommunications Program	Form	Modified	Preloan Procedures and Requirements for Telecommunications Program
1793	Preloan Procedures and Requirements for Telecommunications Program	Form	Modified	Supplementary informaiton and toll settlement data - Certification of Nonsegregated Facilities
1793	Preloan Procedures and Requirements for Telecommunications Program	Form	Modified	General Information & Area Coverage Survey (ACS)
1793	Preloan Procedures and Requirements for Telecommunications Program	Form	Modified	Construction Costs Estimates
1793	Preloan Procedures and Requirements for Telecommunications Program	Form	Modified	Loan Design Summary
1793	Preloan Procedures and Requirements for Telecommunications Program	Form	Modified	Application for Telecommunications Loan or Loan Guarantee

ICR Details

OMB Control No: 0572-0079	ICR Reference No: 201001-0572-002
Status: Historical Active	Previous ICR Reference No: 200609-0572-004
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: Preloan Procedures and Requirements for Telecommunications Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/28/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/31/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2013	36 Months From Approved	07/31/2010
Responses	354	0	404
Time Burden (Hours)	3,539	0	3,589
Cost Burden (Dollars)	0	0	0

---

Abstract: The items covered by this information collection package are used for (a) loan requirements and preloan and loan processing procedures, and (b) acquisitions and mergers.

---

Authorizing Statute(s): US Code: 7 USC 901 et seq. Name of Law: Rural Electrification Act of 1936, as amended
  

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:
	74 FR 247	12/28/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 61	03/31/2010
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Preloan Procedures and Requirements for Telecommunications Program	490, 494, 495, 507, 569, 291	Application for Telecommunications Loan or Loan Guarantee ,   Loan Design Summary ,   Construction Costs Estimates ,   General Information & Area Coverage Survey (ACS) ,   Supplementary informaiton and toll settlement data - Certification of Nonsegregated Facilities ,   Preloan Procedures and Requirements for Telecommunications Program

---

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	354	404	0	-50	0	0
Annual Time Burden (Hours)	3,539	3,589	0	-50	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Form 567 is no longer used by the program resulting in a decrease of -50 responses and -50 burden hours.

---

Annual Cost to Federal Government: $24,796

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]? No

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)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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: 03/31/2010

---