New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 395a New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers	Form	New	Available
Form 213 instructions.mht	Supplementary Document	Uploaded 2014-01-16	Available
Form 238 instructions.mht	Supplementary Document	Uploaded 2014-01-16	Source copy available
Form_238.pdf	Supplementary Document	Uploaded 2014-01-16	Available
SFLLL.pdf	Supplementary Document	Uploaded 2014-01-16	Available
2013-Spreadsheet -01-03-14 mpd-submitted req. data.xls	Supplementary Document	Uploaded 2014-01-16	Available
2014-SS- 01-16-14 mpd-submitted.doc	Supporting Statement A	Uploaded 2014-01-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
210082	New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers	Form	New

ICR Details

OMB Control No: 0572-0149	ICR Reference No: 201401-0572-003
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 08/05/2014
	Date Received in OIRA: 02/12/2014
Terms of Clearance: In accordance with 5 CFR 1320, OMB is withholding approval at this time. Prior to publication of the final rule, the agency must submit to OMB a summary of all comments related to the information collection contained in the proposed rule and the agency response. The agency should clearly indicate any changes made to the information collection as a result of these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: In an effort to improve customer service to the RUS rural borrowers, the Agency has proposed to revise and streamline its current contracts. RUS has and will continue to work with industry groups to obtain their input as to what types of changes the borrowers may want to see made to the contracts.

---

Authorizing Statute(s): US Code: 7 USC 901 et seq.,as amended Name of Law: RE Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0572-AC29	Proposed rulemaking	79 FR 29	02/12/2014

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers	395a, 395b, 395, AD 1048, 395c, 395d	Certificate of Completion (Equipment Contract Including Installation) ,   Certificate of COmpletion (Equipment Contract Not Including Installation) ,   Cetificate of Contractor and Indemnity ,   Results of Acceptance Test ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclsion - Lower Tier Covered Transactions ,   Equipment Contract

---

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

---

Annual Cost to Federal Government: $20,516

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/12/2014

---