Burden Summary - Spreadsheet

USDA - RUS		Title of Information Document						OMB No.
		Telecommunication Engineering & Construction							0572-0059
SUMMARY OF INFORMATION COLLECTION		Contracts						Date Prepared
								2017
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 RECORDKEEPING 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)
	Construction Certification Program
1753	Construction Work Plan and Cost Distribution	157	0	0	32	12.00	384.00
Subpart J
1753	Certification of Contractor or Force Account Proposal	158	1	12	12	3.00	36.00
Subpart J	Approval
1753	Summary of Completed Construction	159	0	0	0	6.00	0.00
Subpart J
1753	Certification Borrower Contract Addendum	N/A	0	0	0	1.00	0.00
Subpart J
	Architects and Engineers Qualifications	179	14	1	14	2.00	28.00
1753.48(g)	Construction Change Order	216	30	1	30	1.00	30.00
	● When changes or correction are necessary the borrower's
	engineer will prepare a construction change order. A copy
	of each is attached to the construction inventory required
	to close out the contract
IDENTIFICATION OF REPORTING AND RECORDKEEPING 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)
				RESPON-	(Col. d & e)
				DENT
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
	Engineering and Architectural Services
1753	Postloan Engineering Service Contract	217
Subpart B	● Approval of Postloan Engineering Service Contract		13	1	13	7.00	91.00
	● Approval of Postloan Engineering… - Broadband Program		1	1	1	7.00	7.00
	The Postloan Engr. Serv. Contract inclds. using the following forms:
	RUS Form 217a-Project Design, Assistance and Coordination:
	RUS Form 217b-Central Office Equipment Engineering Services;
	RUS Form 217c-Transmission Facilities Engineering Services;
	RUS Form 217d-Building Engineering Services;
	RUS Form 217e-Outside Plant Staking Services;
	RUS Form 217f-Outside Plant Contract Doc. Phase Engr. Servs.
	RUS Form 217g-Outside Plant Construction Phase Engr. Servs.
	Miscellaneous Engineering Services Forms
	Assignment of Engineering Service Contract	242	0	0	0	0.50	0.00
1753.15,	Engineering Service Contract - Special Services - Telephone	245	1	1	1	0.75	0.75
81	● Engineering services for minor construction may be
	contracted using Form 245 (This contract form does not
	require RUS approval).
RE Act	Equal Opportunity Addendum	270
NAFTA	● Form 773 issued for minor construction by contract.		54	2.22	120	0.25	29.97
	● Form 773, small scale constuction - Broadband Program		3	3.33	10	0.25	2.50
IDENTIFICATION OF REPORTING AND RECORDKEEPING 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)
				RESPON-	(Col. d & e)
				DENT
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
1753.49	Bidder's Qualifications
	● Submission of bidders' qualifications to the borrower and its	274	62	3.8	236	1.00	235.60
	engineer.
1753.49	Bidder's Qualifications for Buried Plant Construction
	● Submission of bidders' qualifications to the borrower and its	276
	engineer.		57	3.8	217	1.00	216.60
175349	Tabulation of Materials Furnished by Borrower
	● Closeout of major outside plans construction by contract.	281
			26	3.84	100	2.00	199.68
1753.8(b)	Subcontracts (Under Construction or Equipment)
	● Approval of subcontracts (per 1753.8(b))	282	57	2.28	130	0.75	97.47
1753.16	Certificate of Architect
	● Approval of final statement of cost-architectural services	284	0	0	0	0.50	0.00
	● Approval of final statement… - Broadband Program	284	1	1	1	0.50	0.50
1737	Interim Financing Construction	375
Subpart E	Telecommunications Program		57	11.42	651	0.25	162.74
	Broadband Program		0	0	0	0.25	0.00
1753.38	Software License Agreement	390
	Telecommunications Program		34	1.6	54	1.00	54.40
	Broadband Program		15	5.4	81	1.00	81.00
IDENTIFICATION OF REPORTING AND RECORDKEEPING 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)
				RESPON-	(Col. d & e)
				DENT
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
	Statement of Engineering Fees - Telecommunications
1753.17	● Estimates	506	13	1	13	6.00	78.00
	● Estimates - Broadband Program		1	1	1	6.00	6.00
1753.17	● Final		20	1.8	36	6.00	216.00
	● Final - Broadband Program		1	2	2	6.00	12.00
IDENTIFICATION OF REPORTING AND RECORDKEEPING 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)
				RESPON-	(Col. d & e)
				DENT
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
	Major Outside Plant Construction
	Telephone System Construction Contract (Labor and Materials)
1753.47	● Approval of plans and specifications for major outside	515
	plant construction by contract		57	3.8	217	4.00	866.40
1753.48	● Approval of the outside plant contract		57	3.8	217	6.00	1299.60
	● Approval of plans and specifications for major outside
	plant construction by contract - Broadband Program		5	1.4	7	8.00	56.00
	● Approval of the outside plant contract - Broadband		5	1.4	7	4.00	28.00
1753.48	● Owner-Furnished Materials		Information included under RUS Form 787 below.
1753.48	● Approval of negotiated contracts		3	1	3	2.00	6.00
	● Approval of negotiated contracts - Broadband		1	1	1	4.00	4.00
	● Owner-Furnished Materials - Broadband		Information included under RUS Form 787 below.
1753.39	Results of Acceptance Test	517	57	2.02	115	1.00	115
1753.57	Biweekly Progress Report of Telephone Construction
	and Engineering Service	521	85	26	2210	1.00	2210
1753	Statement of Construction Telephone System - Outside Plant
Subpart E	● Closeout of major outside plant construction by contract	527	57	2.02	115	1.25	143.93
IDENTIFICATION OF REPORTING AND RECORDKEEPING 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)
				RESPON-	(Col. d & e)
				DENT
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
	Miscellaneous Outside Plant Construction Forms
1753.49	Final Inventory, Telephone Construction Contract
	(Labor and Materials)	724	57	2.02	115	0.75	86.36
	● Closeout of major outside plant construction by contract
1753.49	Final Inventory, Telephone Construction Contract
	(Labor and Materials) - Detailed	724a	57	2.02	115	3.00	345.42
	● Tabulation of Assembly Units
1753.49	Final Inventory, Telephone Construction Contract
	(Labor and Materials) - Detailed	724b	57	2.02	115	0.75	86.36
	● Removals
1753.78	Certificate of Contractor and Indemnity Agreement
	(Line Extensions)	743
	● Upon completion and inspection the borrower obtains
	from the contractor a final invoice and Form 743		54	2.22	120	0.50	59.94
	● Upon completion and inspection the borrower obtains
	from the contractor a final invoice and Form 743 - Broadband		3	2.33	7	0.50	3.50
IDENTIFICATION OF REPORTING AND RECORDKEEPING 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)
				RESPON-	(Col. d & e)
				DENT
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
	Contract Closeout Certification
1753.18	● Non-form certification	N/A	54	2.02	109	0.50	54.54
	● Broadband Program	756	3	1.6	5	0.50	2.40
1753.81-82	Summary of Work Order
	Inspection by GFR	771	57	2.23	127	0.50	63.56
	Inspection by licensed Engineer or Borrower's Staff Engineer	771a	54	2.22	120	0.50	59.94
	Broadband Program	771a	3	2.33	7	0.50	3.50
1753	Miscellaneous Construction Work and Maintenance
	Service Contract	773
	● Issued for minor construction by contract		54	2.22	120	2.00	239.76
	● Issued for small-scale construction -Broadband Program		3	2.33	7	3.00	20.97
1753.48 (f)	Supplement A to Construction Contract RUS Form 515	787
	● Approval for the borrower to furnished materials for outside
	plant construction by contract		26	3.85	100	0.25	25.03
	● Approval for the borrower to furnished materials for outside
	plant construction by contract - Broadband		1	5	5	0.25	1.25
1753.58	Telephone Force Account Construction - Final Inventory
	Closeout of major outside plant construction by force account	817	54	2.22	120	2.00	239.76
		817a	54	2.22	120	2.00	239.76
		817b	54	2.22	120	2.00	239.76
1753.15	Preloan Engineering Service Contract, Telephone
(a)(2)	System Design	835	0	0	0	0.75	0.00
1753.80 (g)	Minor construction - request to establish a work order fund
	for specific construction project	n/a	0	0	0	2.00	0.00
	Minor construction - request to establish a work order fund
	for specific construction project - Broadband	n/a	0	0	0	2.00	0.00
1753.27	Construction of building - award of contract
		n/a	1	1	1	2.00	2.00
1753.48 (a)	Outside plant major construction - award of construction in
	accordance with procedures	n/a	57	3.8	217	1.50	324.90
1753.48 (b)	Outside plant major construction - RUS approval of negotiated	n/a	4	1	4	1.50	6.00
	proposals
1753.68 (b)	Special equipment - approval of the
	proposal for initial purchase of equipment	n/a	0	0	0	1.50	0.00
	Core network and access equipment - approval of the
	proposal for initial purchase of equipment - Broadband	n/a	0	0	0	1.50	0.00
IDENTIFICATION OF REPORTING AND RECORDKEEPING 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)
				RESPON-	(Col. d & e)
				DENT
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
1753.36	Core network and access equipment - request for approval
	to negotiate for the purpose of standardization on a	n/a	1	1	1	1.25	1.25
	system basis
	Core network and access equipment - request for approval
	to negotiate for the purpose of standardization on a
	system basis - Broadband	n/a	2	1	2	1.50	3.00
1753.3	During the preconstruction review, obtain approval for any
	construction that does not conform to RUS standards and	n/a	0	0	0	1.50	0.00
	specifications or the approved Loan Design
1753.6	Approval to use other than new or nonstandard materials
	and equipment	n/a	0	0	0	1.50	0.00
	Approval to use other than new or nonstandard materials
	and equipment - Broadband	n/a	0	0	0	1.00	0.00
Total burden hours for forms approved under OMB Docket 0572-0059			110	57.291	6,302	1.3975	8,807.20
	FORMS APPROVED UNDER OTHER OMB DOCKETS
			Forms approved under OMB Docket No. 0572-0107
1753, 1788	Contractor's Bond	168b	60	2.06	124	0.02	1.98
1753, 1788	Contractor's Bond (less than $1 million)	168c	0	1	0	0.02	0.00
1753.30	Certificate of Completion - Contract Construction for Building	181	4	1	4	0.10	0.40
	Closeout of Contract Form 257 for Building Construction.
1753	Certificate ("Buy American")	213	0	0	0	0.02	0.00
1753	Equipment Contract	395	37	2	65	1.50	419
Subpart E, H
1753.37, 38,	Certificate of Completion, Equipment Contract	395a	42	1.29	54	0.50	27.09
39, 68	(Including Installation)
1753.37, 38,	Certificate of Completion, Equipment Contract	395b	20	1.29	26	0.50	12.90
39, 68	(Not Including Installation)
1753.37, 38,	Certificate of Contractor and Indemnity Agreement	395c	42	1.29	54	0.50	27.09
39, 68	(Use only for installation contracts)
1753.37, 38,	Report in writing, including all measurements, any	395d	60	1.29	77	0.75	58.05
39, 68	acceptance test report and other information required under
	Part II of applicable specifications
1753.30,	Waiver and Release of Lien	224	60	1.95	117	0.02	1.87
39, 49	● Closeout of Contract Form 257 for building construction
	● Closeout of major outside plant contraction by contract
1753.30,	Certificate of Contractor	231	3	1	3	0.02	0.05
39, 49
1753.11,	Construction or Equipment Contract Amendment	238	64	1.83	117	0.02	1.87
28, 38, 68
1753	Contract to Construct Building	257	1	1	1	0.08	0.08
Subpart D
	Bid Bond	307	60	2.06	124	0.02	1.98
			Form approved under OMB Docket No. 0572-0023
1744.66	Financial Requirements Statement	481	114	2.22	253	2.00	506.16
			Form approved under OMB Docket No. 0572-0074
1744.66	Certification of Authority	675	32	2.16	69	0.10	6.91
			Form approved under OMB Docket No. 0572-0118
Subpart B	Architectural Services Contract	220	3	1	3	1.00	3.00
Total burden hours for forms approved under other OMB Dockets			513.00	2	1,091.20	0.98	1,067.93