OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Telecommunications System Construction Policies and Procedures

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

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 157
Construction Work Plan & Cost Distribution Telecommunications System Construction Policies and Procedures		 Form
Form 158
Certification of Contractor or Force Account Proposal Approval Telecommunications System Construction Policies and Procedures		 Form
Form 159
Summary of Completed Construction Telecommunications System Construction Policies and Procedures		 Form
Form 179
Architects and Engineers Qualifications Telecommunications System Construction Policies and Procedures		 Form
Form 216
Construction and Change Order Telecommunications System Construction Policies and Procedures		 Form
Form 217
Postloan Engineering Services Contract-Telecommunications Systems Telecommunications System Construction Policies and Procedures		 Form
Form 242
Assignment of Engineering Service Contract Telecommunications System Construction Policies and Procedures		 Form
Form 245
Engineering Service Contract, Special Services-Telephone Telecommunications System Construction Policies and Procedures		 Form
Form 270
Equal Opportunity Addendum Telecommunications System Construction Policies and Procedures		 Form
Form 274
Bidder's Qualifications Telecommunications System Construction Policies and Procedures		 Form
Form 276
Bidder's Qualifications for Buried Plant Construction Telecommunications System Construction Policies and Procedures		 Form
Form 281
Tabulation of Materials Furnished by Borrower Telecommunications System Construction Policies and Procedures		 Form
Form 282
Subcontracts-(Under Construction or Equipment Contracts Telecommunications System Construction Policies and Procedures		 Form
Form 284
Certificate of Architect Telecommunications System Construction Policies and Procedures		 Form
Form 375
Interim Financing Construction Telecommunications System Construction Policies and Procedures		 Form
Form 390
Software License Agreement Telecommunications System Construction Policies and Procedures		 Form
Form 396
Certificate of Completion, Special Equipment Contract (including installation) Telecommunications System Construction Policies and Procedures		 Form
Form 396a
Certificate of Completion, Special Equipment Contract (Not including installation) Telecommunications System Construction Policies and Procedures		 Form
Form 397 with b-h
Special Equipment Contract (including installation) Telecommunications System Construction Policies and Procedures		 Form
Form 398
Special Equipment Contract (not including installation) Telecommunications System Construction Policies and Procedures		 Form
Form 506
Statement of Engineering Fees- Telecommunications Telecommunications System Construction Policies and Procedures		 Form
Form 515
Telephone System Construction Contract(Labor & Materials) Telecommunications System Construction Policies and Procedures		 Form
Form 517
Results of Acceptance Tests Telecommunications System Construction Policies and Procedures		 Form
Form 521
BiWeekly Progress Report of Telephone Construciton & Engineering Services Telecommunications System Construction Policies and Procedures		 Form
Form 525
Central Office Equipment Contract (Including installation) Telecommunications System Construction Policies and Procedures		 Form
Form 527
Statement of Construction Telephone System-Outside Plant Telecommunications System Construction Policies and Procedures		 Form
Form 545
Central Office Equipment Contract (not including installation) Telecommunications System Construction Policies and Procedures		 Form
Form 724
FInal Inventroy, Telephone Construction Contract (Labor& Materials) Telecommunications System Construction Policies and Procedures		 Form
Form 724a
Final Inventory, Telephone Construction Cpmtract (Labor & Material) Telecommunications System Construction Policies and Procedures		 Form
Form 724b
Final Inventory, Telephone Construction Contract (Labor & Material) Telecommunications System Construction Policies and Procedures		 Form
Form 743
Certificate of Ocntractor & Indemnity Agreement (Line Extensions) Telecommunications System Construction Policies and Procedures		 Form
Form 744
Certificate of Contractor and Indemnity Agreement Telecommunications System Construction Policies and Procedures		 Form
Form 752a
Certificate of Completion Central Office equipment Contract (not including installation) Telecommunications System Construction Policies and Procedures		 Form
Form 756
Contract Closeout Certification Telecommunications System Construction Policies and Procedures		 Form
Form 771
Summary of Work orders (Inspection by Agency Field Engineer) Telecommunications System Construction Policies and Procedures		 Form
Form 787
Supplement A to Construction Contract RUS Form 515 Telecommunications System Construction Policies and Procedures		 Form
Form 817
Final Inventory, Telephone Force Account Construction Telecommunications System Construction Policies and Procedures		 Form
Form 817a
Final Inventory, Telephone Force Account Construction Telecommunications System Construction Policies and Procedures		 Form
Form 817b
Final Inventory, Telephone Force Account Construction Telecommunications System Construction Policies and Procedures		 Form
Form 835
Preloan Engineering Service Contract, Telephone System Design Telecommunications System Construction Policies and Procedures		 Form
Form 771a
Summary of Work Orders Telecommunications System Construction Policies and Procedures		 Form
Form Form 773
Miscellaneous Construction Work and Maintenance Services Contract 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 		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 		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 		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)

layout table

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 157 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 158 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Paper Only
Form 159 http:/www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 179 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 216 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Paper Only
Form 217 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Paper Only
Form 242 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 245 http://www.usda.gov.rus/telecom/publications/forms.htm Yes No Printable Only
Form 270 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 274 http://www.usda.gov/rus/teledom/publications/forms.htm Yes No Printable Only
Form 276 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 281 http://www.usda.gov/rus/telecom/publicationsforms.htm Yes No Printable Only
Form 282 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 284 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 375 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 390 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 396 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 396a http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 397 with b-h http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Paper Only
Form 398 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 506 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 515 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 517 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 521 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 525 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 527 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 545 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 724 htpp://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 724a http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 724b http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 743 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 744 http://www.usda.gov/rus.telecom/publications/forms.htm Yes No Printable Only
Form 752a http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 756 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 771 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Paper Only
Form 787 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 817 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 817a http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 817b http://www.usda.gov/rus/telecom/publications.forms.htm Yes No Printable Only
Form 835 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Printable Only
Form 771a http://www.usda..gov/rus/telecom/publications/forms.htm Yes No Fillable Printable
Form Form 773 http://www.usda.gov/rus/telecom/publications/forms.htm Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,382 0 0 0 0 5,382
Annual IC Time Burden (Hours) 10,720 0 0 0 0 10,720
Annual IC Cost Burden (Dollars) 0 0 0 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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