Information Collection

Telecommunications System Construction Policies and Procedures

IC 1786 under ICR 201101-0572-003 · OMB 0572-0059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0059 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 756 Telecommunications System Construction Policies and Procedures	Form
157 Construction Work Plan & Cost Distribution rus-0157.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
158 Certification of Contractor or Force Account Proposal Ap RUS-158.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
159 Summary of Completed Construction RUS-159.pdf http:/www.usda.gov/rus/telecom/publications/forms.htm	Form
179 Architects and Engineers Qualifications rus-179.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
216 Construction and Change Order rus-0216.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
217 Postloan Engineering Services Contract-Telecommunication rus-217with a-g.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
242 Assignment of Engineering Service Contract rus-242.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
245 Engineering Service Contract, Special Services-Telephone rus-245.pdf www.usda.gov.rus/telecom/publications/forms.htm	Form
270 Equal Opportunity Addendum rus-270.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
274 Bidder's Qualifications rus-274.pdf www.usda.gov/rus/teledom/publications/forms.htm	Form
276 Bidder's Qualifications for Buried Plant Construction rus-276.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
281 Tabulation of Materials Furnished by Borrower rus-281.pdf www.usda.gov/rus/telecom/publicationsforms.htm	Form
282 Subcontracts-(Under Construction or Equipment Contracts rus-282.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
284 Certificate of Architect rus-284.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
375 Interim Financing Construction rus-375.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
390 Software License Agreement rus-390.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
396 Certificate of Completion, Special Equipment Contract (i rus-396.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
396a Certificate of Completion, Special Equipment Contract (N rus-396a.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
397 with b-h Special Equipment Contract (including installation) rus-397.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
398 Special Equipment Contract (not including installation) rus-398.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
506 Statement of Engineering Fees- Telecommunications rus-506.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
515 Telephone System Construction Contract(Labor & Materials rus-515.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
517 Results of Acceptance Tests rus-517.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
521 BiWeekly Progress Report of Telephone Construciton & Eng rus-521.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
525 Central Office Equipment Contract (Including installatio rus-525.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
527 Statement of Construction Telephone System-Outside Plant rus-527.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
545 Central Office Equipment Contract (not including install rus-545.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
724 FInal Inventroy, Telephone Construction Contract (Labor& rus-724.pdf htpp://www.usda.gov/rus/telecom/publications/forms.htm	Form
724a Final Inventory, Telephone Construction Cpmtract (Labor rus-724a.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
724b Final Inventory, Telephone Construction Contract (Labor rus-724b.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
743 Certificate of Ocntractor & Indemnity Agreement (Line Ex rus-743.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
744 Certificate of Contractor and Indemnity Agreement rus-744.pdf www.usda.gov/rus.telecom/publications/forms.htm	Form
752a Certificate of Completion Central Office equipment Contr rus-752a.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
756 Contract Closeout Certification rus-756.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
771 Summary of Work orders (Inspection by Agency Field Engin rus-771.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
787 Supplement A to Construction Contract RUS Form 515 RUS-787.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
817 Final Inventory, Telephone Force Account Construction rus-817.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
817a Final Inventory, Telephone Force Account Construction rus-817a.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
817b Final Inventory, Telephone Force Account Construction rus-817b.pdf www.usda.gov/rus/telecom/publications.forms.htm	Form
835 Preloan Engineering Service Contract, Telephone System D rus-835.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form
771a Summary of Work Orders rus-771a.pdf www.usda..gov/rus/telecom/publications/forms.htm	Form
Form 773 Miscellaneous Construction Work and Maintenance Services rus-773.pdf www.usda.gov/rus/telecom/publications/forms.htm	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Telecommunications System Construction Policies and Procedures

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 1753

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	756	Contract Closeout Certification	rus-756.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	771	Summary of Work orders (Inspection by Agency Field Engineer)	rus-771.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Paper Only
Form	787	Supplement A to Construction Contract RUS Form 515	RUS-787.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	817	Final Inventory, Telephone Force Account Construction	rus-817.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	817a	Final Inventory, Telephone Force Account Construction	rus-817a.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	817b	Final Inventory, Telephone Force Account Construction	rus-817b.pdf	http://www.usda.gov/rus/telecom/publications.forms.htm	Yes	No	Printable Only
Form	835	Preloan Engineering Service Contract, Telephone System Design	rus-835.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	216	Construction and Change Order	rus-0216.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Paper Only
Form	217	Postloan Engineering Services Contract-Telecommunications Systems	rus-217with a-g.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Paper Only
Form	242	Assignment of Engineering Service Contract	rus-242.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	245	Engineering Service Contract, Special Services-Telephone	rus-245.pdf	http://www.usda.gov.rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	270	Equal Opportunity Addendum	rus-270.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	274	Bidder's Qualifications	rus-274.pdf	http://www.usda.gov/rus/teledom/publications/forms.htm	Yes	No	Printable Only
Form	276	Bidder's Qualifications for Buried Plant Construction	rus-276.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	281	Tabulation of Materials Furnished by Borrower	rus-281.pdf	http://www.usda.gov/rus/telecom/publicationsforms.htm	Yes	No	Printable Only
Form	282	Subcontracts-(Under Construction or Equipment Contracts	rus-282.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	284	Certificate of Architect	rus-284.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	375	Interim Financing Construction	rus-375.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	390	Software License Agreement	rus-390.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	396	Certificate of Completion, Special Equipment Contract (including installation)	rus-396.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	396a	Certificate of Completion, Special Equipment Contract (Not including installation)	rus-396a.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	397 with b-h	Special Equipment Contract (including installation)	rus-397.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Paper Only
Form	398	Special Equipment Contract (not including installation)	rus-398.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	506	Statement of Engineering Fees- Telecommunications	rus-506.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	515	Telephone System Construction Contract(Labor & Materials)	rus-515.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	517	Results of Acceptance Tests	rus-517.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	521	BiWeekly Progress Report of Telephone Construciton & Engineering Services	rus-521.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	525	Central Office Equipment Contract (Including installation)	rus-525.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	527	Statement of Construction Telephone System-Outside Plant	rus-527.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	545	Central Office Equipment Contract (not including installation)	rus-545.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	724	FInal Inventroy, Telephone Construction Contract (Labor& Materials)	rus-724.pdf	htpp://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	724a	Final Inventory, Telephone Construction Cpmtract (Labor & Material)	rus-724a.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	724b	Final Inventory, Telephone Construction Contract (Labor & Material)	rus-724b.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	743	Certificate of Ocntractor & Indemnity Agreement (Line Extensions)	rus-743.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	744	Certificate of Contractor and Indemnity Agreement	rus-744.pdf	http://www.usda.gov/rus.telecom/publications/forms.htm	Yes	No	Printable Only
Form	752a	Certificate of Completion Central Office equipment Contract (not including installation)	rus-752a.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	771a	Summary of Work Orders	rus-771a.pdf	http://www.usda..gov/rus/telecom/publications/forms.htm	Yes	No	Fillable Printable
Form	Form 773	Miscellaneous Construction Work and Maintenance Services Contract	rus-773.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Fillable Printable
Form	157	Construction Work Plan & Cost Distribution	rus-0157.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	158	Certification of Contractor or Force Account Proposal Approval	RUS-158.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Paper Only
Form	159	Summary of Completed Construction	RUS-159.pdf	http:/www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only
Form	179	Architects and Engineers Qualifications	rus-179.pdf	http://www.usda.gov/rus/telecom/publications/forms.htm	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 513

Number of Respondents for Small Entity: 513

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,382	5,382
Annual IC Time Burden (Hours)	10,720	10,720
Annual IC Cost Burden (Dollars)	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.