| USDA - RUS | 
 | Title  of  Information  Document                                                                                         Preloan Procedures and Requirements for Telecommunications Programs | OMB  No. | 
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 | 0572-0079 | 
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		| SUMMARY  OF  INFORMATION  COLLECTION | 
 | Date  Prepared | 
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		| 
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 | 9/18/2013 | 
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		| INSTRUCTIONS: |  | 
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 | > | (f)  TOTAL | 
 | (h)  TOTAL | 
 | (k)  TOTAL | 
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		| Use this form when a single information collection document involves multiple reporting and | 
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 | > | - | = (e)  Average | - | = (g)  Average | - | = (j)  Average | 
	
		| recordkeeping requirements. | 
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 | > | (d)  TOTAL | 
 | (f)  TOTAL | 
 | (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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		| 
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 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | ANNUAL | TOTAL | 
	
		| SECTION  OF | 
 | (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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 | Loan Requirements & Preloan Procedures | 
 | 36 | 1 | 36 | 79.0 | 2,844 | 
 |  |  | 
	
		| 
 | NOTE:  Applicants must complete the seven (7) requirements listed below. Per response time of 79 hours is a combined total of each requirement's individual per response time. | 
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		| 1737.21 | The completed loan application -- Loan appplication form | 490 | 36 | 1 | 36 | 0.5 | 
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		| 1735.22 | Supplementary information and toll settlement data (includes RUS 291) | none | 36 | 1 | 36 | 12 | 
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		| 1737.30 & 1735.31 | General Information & Area Coverage Survey (ACS) | 569 | 36 | 1 | 36 | 4 | 
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		| 1737.32 | Loan Design Summary | 494 | 36 | 1 | 36 | 2 | 
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		| 1737.32 | Construction Cost Estimates | 495 | 36 | 1 | 36 | 14 | 
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		| 1737.32 | Narrative portion of Loan Design | none | 36 | 1 | 36 | 30 | 
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 | Loan Processing Procedures | 
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		| 1737.1 | Prerequisites to Release and Advance of Funds | none | 36 | 1 | 36 | 16 | 
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 | Subtotal | 
 | 36 | 
 | 36 | 
 | 2,844 | 
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 | Combined Total Burden Hours of all Pages | 
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 | 3,224 | 
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		| RUS  Form  36   (07-91) | 
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 | Page __1__  of __1__ | 2 | 
	
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		| USDA - RUS | 
 | Title  of  Information  Document | 
 | 
 | 
 | OMB  No. | 
 | 
 | 
	
		| 
 | 
 | Preloan Procedures and Requirements for Telecommunications Programs | 
 | 0572-0079 | 
 | 
	
		| SUMMARY  OF  INFORMATION  COLLECTION | 
 | Date  Prepared | 
 | 
 | 
	
		| 
 | 
 | 9/18/2013 | 
 | 
	
		| 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 | 
 | 
 | 
 | RECORDS | 
 | 
	
		| 
 | 
 | NO(s) | NO.  OF | NO.  OF | TOTAL | HOURS | TOTAL | NO.  OF | ANNUAL | TOTAL | 
	
		| SECTION  OF | 
 | (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 | 
	
		| 
 | 
 | 
 | 
 | RESPON- | (Col.  d  &  e) | 
 | 
 | 
 | KEEPER | HOURS | 
	
		| 
 | 
 | 
 | 
 | DENT | 
 | 
 | 
 | 
 | 
 | (Col.  i  &  j) | 
	
		| (a) | (b) | (c) | (d) | (e) | (f) | (g) | (h) | (i) | (j) | (k) | 
	
		| 
 | Acquisitions and Mergers | 
 | 4 | 1 | 4 | 95 | 380 | 
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		| 
 | NOTE:  Applicants must complete the eight (8) requirements listed below. Per response time of 95 hours is a combined total of each requirement's individual per response time. | 
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		| 1735.74, | Submission of Data, Report on Telephone Acquision | 
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		| 1735.80, and | 507 | 4 | 1 | 4 | 16 |  | 
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		| 1735.90. | 
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		| 
 | Loan Requirements & Preloan Procedures | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 1737.21 | The completed loan application | 
 | 
 | 
 | 
 | 
 | 
 | 
 |  |  | 
	
		| 1737.21 | Loan appplication form | 490 | 4 | 1 | 4 | 0.5 | 
 | 
 | 
 | 
 | 
	
		| 1735.22 | Supplementary information and toll settlement data (includes RUS 291) | none | 4 | 1 | 4 | 12 | 
 | 
 | 
 | 
 | 
	
		| 1737.30 & 1735.31 | General Information & Area Coverage Survey (ACS) | 569 | 4 | 1 | 4 | 4 | 
 | 
 | 
 | 
 | 
	
		| 1737.32 | Loan Design Summary | 494 | 4 | 1 | 4 | 2 | 
 | 
 | 
 | 
 | 
	
		| 1737.32 | Construction Cost Estimates | 495 | 4 | 1 | 4 | 14 | 
 | 
 | 
 | 
 | 
	
		| 1737.32 | Narrative portion of Loan Design | none | 4 | 1 | 4 | 30 | 
 | 
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		| 
 | 
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 | 
 | 
 | 
 | 
 | 
 | 
 | 
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		| 
 | Loan Processing Procedures | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
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		| 1737.1 | Prerequisites to Release and Advance of Funds | none | 4 | 1 | 4 | 16 | 
 | 
 | 
 | 
 | 
	
		|  | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
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		| 
 | Subtotal | 
 | 4 | 
 | 4 | 
 | 380 | 
 | 
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		| RUS  Form  36   (07-91) | 
 | 
 | 
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 | 
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 | Page __2__  of 2 | 
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