| USDA - RUS |
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Title of Information Document |
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OMB No. |
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0572-0032 |
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| SUMMARY OF INFORMATION COLLECTION |
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RUS Electric Loan Application and Related Reporting |
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Date Prepared |
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Burdens |
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Mar-13 |
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| INSTRUCTIONS: |
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> |
(f) TOTAL |
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(h) TOTAL |
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(k) TOTAL |
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| Use this form when a single information collection document involves multiple reporting and |
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> |
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= (e) Average |
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= (g) Average |
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= (j) Average |
| recordkeeping requirements. |
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> |
(d) TOTAL |
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(f) TOTAL |
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(i) TOTAL |
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| IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS |
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ANNUAL BURDEN |
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FORM |
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REPORTS |
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RECORDS |
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NO(s) |
NO. OF |
NO. OF |
TOTAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
TOTAL |
| SECTION OF |
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(If "none" |
RESPON- |
RESPONSES |
ANNUAL |
PER |
HOURS |
RECORD- |
HOURS PER |
RECORD- |
| REGULATIONS |
DESCRIPTION |
so state) |
DENTS |
PER |
RESPONSES |
RESPONSE |
(Col. f & g) |
KEEPERS |
RECORD- |
KEEPING |
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RESPON- |
(Col. d & e) |
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KEEPER |
HOURS |
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DENT |
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(Col. i & j) |
| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
(k) |
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| 1710.401(a) |
Borrower Checklist |
726 |
200 |
1 |
200 |
0.50 |
100.00 |
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| 1710.401(a)(1) |
Transmittal Letter |
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200 |
1 |
200 |
1.00 |
200.00 |
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| 1710.401(a)(2) |
Board Resolution |
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200 |
1 |
200 |
0.50 |
100.00 |
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| 1710.401(a)(3) |
Cost Estimates and Loan Budget for Electric Borrowers |
740c |
200 |
1 |
200 |
2.50 |
500.00 |
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| 1710.401(a)(4) |
Application for Headquarters Facilities |
740g |
5 |
1 |
5 |
3.00 |
15.00 |
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| 1710.407 |
Energy Efficiency Business Plan |
none |
20 |
1 |
20 |
2.00 |
40.00 |
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| 1710.408 |
Energy Efficiency Quality Assurance Plan |
none |
20 |
1 |
20 |
2.00 |
40.00 |
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| 1710.411 |
Analytical Support Documentation |
none |
20 |
1 |
20 |
30 |
600.00 |
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Financial and Operating Report |
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a. Distribution Borrowers |
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| 1710.401(a)(5) |
Loan Application |
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180 |
1 |
180 |
2.00 |
360.00 |
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| 1718.104 Article V, Sec 5-19 |
Annual Submission - Electronic completion - Web |
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594 |
1 |
594 |
16.00 |
9504.00 |
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Financial and Operating Report |
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| 1710.401(a)(5) |
b. Power Supply Borrowers (G&T) |
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Loan Application |
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20 |
1 |
20 |
2.00 |
40.00 |
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| 1718.104 Article V, Sec 5-19 |
Annual Submission - Electronic completion - Web |
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56 |
1 |
56 |
21.00 |
1176.00 |
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Statements from Counsel |
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| 1710.401(a)(6) |
Pending Litigation |
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200 |
1 |
200 |
1.00 |
200.00 |
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| 1710.401(a)(7) |
Mortgage Information |
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200 |
1 |
200 |
1.00 |
200.00 |
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| 1710.401(a)(15) |
State Regulatory Approvals |
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200 |
1 |
200 |
1.00 |
200.00 |
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| 1710.401(a)(14) |
Articles of Incorporation and Bylaws |
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50 |
1 |
50 |
0.50 |
25.00 |
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| 1710.401(a)(17) |
Rate Data |
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50 |
1 |
50 |
0.50 |
25.00 |
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| 1710.401(b) |
Area Coverage and Line Extension Policies (Distribution Borrowers Only) |
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180 |
1 |
180 |
0.50 |
90.00 |
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| 1710.401(c)(1) |
Long Range Financial Forecast and Board Resolution |
325a-k |
200 |
1 |
200 |
18.00 |
3600.00 |
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| 1710.401(c)(2)(I) and 1710, subpart E |
Load Forecast and Board Resolution |
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200 |
1 |
200 |
22.00 |
4400.00 |
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| 1710.401(c)(2)(ii) and 1710, subpart F |
Construction Workplan (CWP), Related Engineering Studies and Board Resolution |
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200 |
1 |
200 |
230.00 |
46000.00 |
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| 1710.255 |
Energy Efficiency Workplan (EEWP), Related Engineering Studies and Board Resolution |
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20 |
1 |
20 |
4.00 |
80.00 |
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Alternative Sources of Power Statement |
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20 |
1 |
20 |
1.00 |
20.00 |
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Equal Opportunity and Nondiscrimination |
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| 1710.122 |
Compliance Assurance |
266 |
100 |
1 |
200 |
0.50 |
100.00 |
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| 1710.401(a)(9) |
Equal Employment Opportunity Employer Report |
SF-100 |
125 |
1 |
125 |
0.25 |
31.25 |
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(3046-0007) |
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Debarment and Suspension |
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| 1710.401(a)(10) |
Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transactions |
AD-1047 |
200 |
1 |
200 |
0.50 |
100.00 |
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| 1710.401(a)(11) |
Uniform Relocation Act |
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200 |
1 |
200 |
0.50 |
100.00 |
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Lobbying |
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| 1710.401(a)(12)(i) |
Certification Regarding Lobbying |
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200 |
1 |
200 |
0.50 |
100.00 |
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| 1710.401(a)(12)(ii) |
Disclosure of Lobbying Activities |
SF-LLL |
20 |
1 |
20 |
0.16 |
3.20 |
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(0348-0046) |
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| 1710.126 |
Federal Debt Delinquency Requirements |
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200 |
1 |
200 |
0.50 |
100.00 |
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| 1710.401(a)(13)(ii) |
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650 |
6.74 |
4,380.0 |
15.54 |
68,049 |
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