Information Collection

Preloan Procedures and Requirements for Telecommunications Program

IC 1793 under ICR 201001-0572-002 · OMB 0572-0079.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 490 Application for Telecommunications Loan or Loan Guarantee Preloan Procedures and Requirements for Telecommunications Program	Form
Form 494 Loan Design Summary Preloan Procedures and Requirements for Telecommunications Program	Form
Form 495 Construction Costs Estimates Preloan Procedures and Requirements for Telecommunications Program	Form
Form 569 General Information & Area Coverage Survey (ACS) Preloan Procedures and Requirements for Telecommunications Program	Form
Form 291 Supplementary informaiton and toll settlement data - Certification of Nonsegregated Facilities Preloan Procedures and Requirements for Telecommunications Program	Form
Form 507 Preloan Procedures and Requirements for Telecommunications Program 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

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	490	Yes	No	Fillable Printable
Form	494	Yes	No	Fillable Printable
Form	495	Yes	No	Fillable Printable
Form	569	Yes	No	Fillable Printable
Form	291	No		Fillable Printable
Form	507	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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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