Telecommunications System Construction Policies and Procedures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 773 Miscellaneous Construction Work and Maintenance Services Contract	Form	Modified	Available
Form 771a Summary of Work Orders	Form	Modified	Available
Form 835 Preloan Engineering Service Contract, Telephone System Design	Form	Modified	Available
Form 817b Final Inventory, Telephone Force Account Construction	Form	Modified	Repair queued
Form 817a Final Inventory, Telephone Force Account Construction	Form	Modified	Available
Form 817 Final Inventory, Telephone Force Account Construction	Form	Modified	Available
Form 787 Supplement A to Construction Contract RUS Form 515	Form	Modified	Repair queued
Form 771 Summary of Work orders (Inspection by Agency Field Engineer)	Form	Modified	Available
Form 756 Contract Closeout Certification	Form	Modified	Repair queued
Form 752a Certificate of Completion Central Office equipment Contract (not including installation)	Form	Modified	Available
Form 744 Certificate of Contractor and Indemnity Agreement	Form	Modified	Available
Form 743 Certificate of Ocntractor & Indemnity Agreement (Line Extensions)	Form	Modified	Repair queued
Form 724b Final Inventory, Telephone Construction Contract (Labor & Material)	Form	Modified	Available
Form 724a Final Inventory, Telephone Construction Cpmtract (Labor & Material)	Form	Modified	Repair queued
Form 724 FInal Inventroy, Telephone Construction Contract (Labor& Materials)	Form	Modified	Available
Form 545 Central Office Equipment Contract (not including installation)	Form	Modified	Available
Form 527 Statement of Construction Telephone System-Outside Plant	Form	Modified	Available
Form 525 Central Office Equipment Contract (Including installation)	Form	Modified	Available
Form 521 BiWeekly Progress Report of Telephone Construciton & Engineering Services	Form	Modified	Repair queued
Form 517 Results of Acceptance Tests	Form	Modified	Available
Form 515 Telephone System Construction Contract(Labor & Materials)	Form	Modified	Available
Form 506 Statement of Engineering Fees- Telecommunications	Form	Modified	Repair queued
Form 398 Special Equipment Contract (not including installation)	Form	Modified	Available
Form 397 with b-h Special Equipment Contract (including installation)	Form	Modified	Repair queued
Form 396a Certificate of Completion, Special Equipment Contract (Not including installation)	Form	Modified	Available
Form 396 Certificate of Completion, Special Equipment Contract (including installation)	Form	Modified	Available
Form 390 Software License Agreement	Form	Modified	Repair queued
Form 375 Interim Financing Construction	Form	Modified	Available
Form 284 Certificate of Architect	Form	Modified	Available
Form 282 Subcontracts-(Under Construction or Equipment Contracts	Form	Modified	Available
Form 281 Tabulation of Materials Furnished by Borrower	Form	Modified	Repair queued
Form 276 Bidder's Qualifications for Buried Plant Construction	Form	Modified	Available
Form 274 Bidder's Qualifications	Form	Modified	Available
Form 270 Equal Opportunity Addendum	Form	Modified	Repair queued
Form 245 Engineering Service Contract, Special Services-Telephone	Form	Modified	Available
Form 242 Assignment of Engineering Service Contract	Form	Modified	Repair queued
Form 217 Postloan Engineering Services Contract-Telecommunications Systems	Form	Modified	Available
Form 216 Construction and Change Order	Form	Modified	Repair queued
Form 179 Architects and Engineers Qualifications	Form	Modified	Available
Form 159 Summary of Completed Construction	Form	Modified	Repair queued
Form 158 Certification of Contractor or Force Account Proposal Approval	Form	Modified	Repair queued
Form 157 Construction Work Plan & Cost Distribution	Form	Modified	Available
2011 - FINAL Spreadsheet(3).XLS	Supplementary Document	Uploaded 2011-03-24	Available
2011- Suporting Statement(2) Final.doc	Supporting Statement A	Uploaded 2011-03-24	Repair queued
Sec. 6103 Farm Bill.doc	Supplementary Document	Uploaded 2007-12-06	Available
Rural Electrification Act of 1936 - Title I.htm	Supplementary Document	Uploaded 2007-12-06	Available
Title II.htm	Supplementary Document	Uploaded 2007-12-06	Available
RUS-168c.pdf	Supplementary Document	Uploaded 2007-11-21	Available
RUS-168b.pdf	Supplementary Document	Uploaded 2007-11-21	Available
RUS-231.pdf	Supplementary Document	Uploaded 2007-11-21	Available
RUS-307.pdf	Supplementary Document	Uploaded 2007-11-21	Available
RUS-213.pdf	Supplementary Document	Uploaded 2007-11-21	Repair queued
RUS-220.pdf	Supplementary Document	Uploaded 2007-11-21	Available
RUS-481.pdf	Supplementary Document	Uploaded 2007-11-21	Available
RUS-238.pdf	Supplementary Document	Uploaded 2007-11-21	Repair queued
rus-224.pdf	Supplementary Document	Uploaded 2007-11-21	Repair queued
RUS-675.pdf	Supplementary Document	Uploaded 2007-11-21	Available
RUS-257.pdf	Supplementary Document	Uploaded 2007-11-21	Available
RUS-181.pdf	Supplementary Document	Uploaded 2007-11-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Miscellaneous Construction Work and Maintenance Services Contract
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Summary of Work Orders
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Preloan Engineering Service Contract, Telephone System Design
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Force Account Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Force Account Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Force Account Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Supplement A to Construction Contract RUS Form 515
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Summary of Work orders (Inspection by Agency Field Engineer)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Contract Closeout Certification
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certificate of Completion Central Office equipment Contract (not including installation)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certificate of Contractor and Indemnity Agreement
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certificate of Ocntractor & Indemnity Agreement (Line Extensions)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Construction Contract (Labor & Material)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Construction Cpmtract (Labor & Material)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	FInal Inventroy, Telephone Construction Contract (Labor& Materials)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Central Office Equipment Contract (not including installation)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Statement of Construction Telephone System-Outside Plant
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Central Office Equipment Contract (Including installation)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	BiWeekly Progress Report of Telephone Construciton & Engineering Services
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Results of Acceptance Tests
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Telephone System Construction Contract(Labor & Materials)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Statement of Engineering Fees- Telecommunications
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Special Equipment Contract (not including installation)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Special Equipment Contract (including installation)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certificate of Completion, Special Equipment Contract (Not including installation)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certificate of Completion, Special Equipment Contract (including installation)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Software License Agreement
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Interim Financing Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certificate of Architect
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Subcontracts-(Under Construction or Equipment Contracts
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Tabulation of Materials Furnished by Borrower
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Bidder's Qualifications for Buried Plant Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Bidder's Qualifications
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Equal Opportunity Addendum
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Engineering Service Contract, Special Services-Telephone
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Assignment of Engineering Service Contract
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Postloan Engineering Services Contract-Telecommunications Systems
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Construction and Change Order
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Architects and Engineers Qualifications
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Summary of Completed Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certification of Contractor or Force Account Proposal Approval
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Construction Work Plan & Cost Distribution

ICR Details

OMB Control No: 0572-0059	ICR Reference No: 201101-0572-003
Status: Historical Active	Previous ICR Reference No: 200710-0572-001
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: Telecommunications System Construction Policies and Procedures
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/27/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/24/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved	05/31/2011
Responses	5,382	0	5,382
Time Burden (Hours)	10,720	0	10,720
Cost Burden (Dollars)	0	0	0

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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.

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Authorizing Statute(s): US Code: 7 USC 901 Name of Law: RE Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 51977	08/24/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 14894	03/18/2011
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Telecommunications System Construction Policies and Procedures	282, 281, 157, 158, 159, 216, 217, 242, 245, 270, 274, 276, 284, 375, 390, 396, 396a, 527, 398, 397 with b-h, 506, 515, 517, 521, 525, 545, 743, 724, 724a, 724b, 744, 752a, 756, 787, 771, 817, 817b, 817a, 835, 179, 771a, Form 773	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 (including 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 ,   Preloan Engineering Service Contract, Telephone System Design ,   Summary of Work Orders ,   Miscellaneous Construction Work and Maintenance Services Contract

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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	5,382	5,382	0	0	0	0
Annual Time Burden (Hours)	10,720	10,720	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $15,608

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]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 03/24/2011

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