Form 36

USDA - RUS		Title of Information Document				OMB No.
		7 CFR 1717, Subpart D				0572-0114
SUMMARY OF INFORMATION COLLECTION		Mergers and Consolidations of				Date Prepared
		Electric Borrowers				Aug-12
INSTRUCTIONS:		(f) TOTAL		(h) TOTAL		(k) TOTAL
Use this form when a single information collection document involves multiple reporting and		-	= (e) Average	-	= (g) Average	-	= (j) Average
recordkeeping requirements.		(d) TOTAL		(f) TOTAL		(i) TOTAL
IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS				ANNUAL BURDEN
		FORM			REPORTS
		NO(s)	NO. OF	NO. OF	TOTAL	HOURS	TOTAL
SECTION OF		(If "none"	RESPON-	RESPONSES	ANNUAL	PER	HOURS
REGULATIONS	DESCRIPTION	so state)	DENTS	PER	RESPONSES	RESPONSE	(Col. f & g)
				RESPONDENT	(Col. d & e)
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
1717.152	I. DOCUMENTATION NEEDED TO LEGALLY CONDUCT BUSINESS WITH A SUCCESSOR
	In order for RUS to legally advance funds, send bills, and otherwise conduct business with a
	successor following a merger, these documents must be submitted to RUS regardless of the need for
	RUS approval of their merger.
	A. Transmittal letters from each borrower that is a party to the proposed merger.		12	1	12	2	24
	This letter is the formal notification to RUS that the borrower intends to merge. In order to allow RUS
	to prepare the necessary documents, the letter must give tentative timeframes.
	B. Board resolution from each borrower and non-borrower party to the proposed merger.		12	1	12	1	12
	This resolution affirms the board intention to merge.
	C. Documents needed to evidence the proposed merger pursuant to state and local law.		5	1	5	1	5
	These docments include copies of the merger plan, articles of incorporation, bylaws, and notices and
	filings required by law. Generally these are copies of document filed elsewhere.
	D. Letter from counsel to at least one of the borrowers, prior to the merger.		5	1	5	1	5
	This letter describes the merger and indicates the state and local laws under which the merger
	will be consummated.
	E. Opinion of counsel, after the merger is effective.		5	1	5	1	5
	This letter indicates that the merger has been consummated, and that all documents relating to RUS'
	security interest have been filed.
	F. Letter from the successor, after the merger is effective.		5	1	5	1	5
	This letter gives the corporate name and address, names of officers, and the taxpayer ID.
	G. Perfection of RUS' lien and executed loan contract.		5	1	5	2	10
	RUS will either prepare these documents for the borrower's execution, or give the borrower detailed
	instructions.
RUS Form 36 (07-91)						Page 1 of 3
USDA - RUS		Title of Information Document				OMB No.
		7 CFR 1717, Subpart D				0572-0114
SUMMARY OF INFORMATION COLLECTION		Mergers and Consolidations of				Date Prepared
		Electric Borrowers				Aug-12
IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS				ANNUAL BURDEN
		FORM			REPORTS
		NO(s)	NO. OF	NO. OF	TOTAL	HOURS	TOTAL
SECTION OF		(If "none"	RESPON-	RESPONSES	ANNUAL	PER	HOURS
REGULATIONS	DESCRIPTION	so state)	DENTS	PER	RESPONSES	RESPONSE	(Col. f & g)
				RESPONDENT	(Col. d & e)
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
1717.153	II. TRANSITIONAL ASSISTANCE FOLLOWING MERGERS
thru	Some types of transitional assistance are available on the borrower's request, subject to availability
1717.155	of laon funds; Others are subject to RUS approval. (7 CFR 1717.154(a) and (b)). RUS encourages borrowers
	to combine documents where possible. For example, if a borrower submits documents under Item I, and
	Item II at the same time, a single board resolution addressing both will suffice.
	A. Transmittal letter(s) formally requesting the assistance.		12	1	12	2	24
	If the request is submitted before the effective date of the merger, a separate letter must be submitted
	by each borrower. If the request is submitted afterwords, the request must be from the successor.
	B. Board resolution(s).		12	1	12	1	12
	If the request is submitted before the effective date of the merger, a separate letter must be submitted
	by each borrower. If the request is submitted afterwords, the request must be from the successor.
	C. Merger plan.		12	1	12	1	12
	This plan must include a cost benefit analysis of the merger. If the transitional assistance requires
	RUS approval, the borrower must explain why the assistance is needed. RUS assumes that any
	prudent business conducts this type of analysis before entering into a merger, and that borrowers will
	submit copies of analyses prepard for internal use or for the state commissions.
1717.615	III. APPLICATIONS FOR RUS APPROVAL OF MERGERS
	Pursuant to 7 CFR 1717.615, published December 29, 1995, very few mergesneed RUS approval. RUS
	RUS encourages borrowers to conbine documents where possible. See note under Item II.
	A. Transmittal letters from all parties to the proposed action.		12	1	12	2	24
	This letter is the formal notification to RUS that the borrower intends to merge. In order to allow
	RUS to prepare the necessary documents, the letter must give tenative timeframes.
	B. Board resolutions from all parties to the proposed action.		12	1	12	1	12
	This resolution affirms the board's intention to merge.
	C. Analyses and/or other evidence that the successor will be a viable entity.		5	1	5	1	5
	RUS assumes that any prudent business conducts that type of anaysis before entering into a merger, and
	that borrowers will submit copies of analyses prepared for internal use or for their state commissions.
RUS Form 36 (07-91)						Page 2 of 3
USDA - RUS		Title of Information Document				OMB No.
		7 CFR 1717, Subpart D				0572-0114
SUMMARY OF INFORMATION COLLECTION		Mergers and Consolidations of				Date Prepared
		Electric Borrowers				Aug-12
IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS				ANNUAL BURDEN
		FORM			REPORTS
		NO(s)	NO. OF	NO. OF	TOTAL	HOURS	TOTAL
SECTION OF		(If "none"	RESPON-	RESPONSES	ANNUAL	PER	HOURS
REGULATIONS	DESCRIPTION	so state)	DENTS	PER	RESPONSES	RESPONSE	(Col. f & g)
				RESPONDENT	(Col. d & e)
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
	D. Regulatory Information.		5	1	5	1	5
	Pending Federal or State proceedings pertaining to any of the borrowers partieis that could
	have material effects on the successor.
	E. Rate schedules for the successor.		5	1	5	1	5
	This includes copies of rate schedules for the successor and information about any pending rate cases
	before a state commission.
	F. Area coverage and line extension policies for the successor.		5	1	5	1	5
	RUS requires copies of information that distribution borrowers prepare for their own consumers.
			12	10.75	129	1.32	170
RUS Form 36 (07-91)						Page 3 of 3