Preloan Procedures and Requirements for Telecommunications Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0079 can be found here:

Documents and Forms

Document Name Document Type
Form 490 Preloan Procedures and Requirements for Telecommunications Program Form
490 Application for Telecommunications Loan or Loan Guarante rus0490.pdf Form
494 Loan Design Summary rus0494-09-03.pdf Form
495 Construction Costs Estimates rus0495-09-03.pdf Form
569 General Information & Area Coverage Survey (ACS) rus0569-09-03.pdf Form
291 Supplementary informaiton and toll settlement data - Cer RUS0291.pdf Form
507 Preloan Procedures and Requirements for Telecommunicatio rus0507-09-03.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Preloan Procedures and Requirements for Telecommunications Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 901et seq. as amended (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	490	Application for Telecommunications Loan or Loan Guarantee	rus0490.pdf	Yes	No	Fillable Printable
Form	494	Loan Design Summary	rus0494-09-03.pdf	Yes	No	Fillable Printable
Form	495	Construction Costs Estimates	rus0495-09-03.pdf	Yes	No	Fillable Printable
Form	569	General Information & Area Coverage Survey (ACS)	rus0569-09-03.pdf	Yes	No	Fillable Printable
Form	291	Supplementary informaiton and toll settlement data - Certification of Nonsegregated Facilities	RUS0291.pdf	No		Fillable Printable
Form	507	Preloan Procedures and Requirements for Telecommunications Program	rus0507-09-03.pdf	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	354	-50	404
Annual IC Time Burden (Hours)	3,539	-50	3,589
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.