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Telecommunications System Construction Policies and Procedures
Telecommunications System Construction Policies and Procedures
OMB: 0572-0059
IC ID: 1786
OMB.report
USDA/RUS
OMB 0572-0059
ICR 201706-0572-002
IC 1786
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0059 can be found here:
2020-11-19 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 375
Telecommunications System Construction Policies and Procedures
Form
157 Construction Work Plan & Cost Distribution
UTP_form_157.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
158 Certification of Contractor or Force Account Proposal Ap
RUS158.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
159 Summary of Completed Construction
RUS159.pdf
http:/www.usda.gov/rus/telecom/publications/forms.htm
Form
179 Architects and Engineers Qualifications
UTP_form_179.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
216 Construction and Change Order
UTP_form_216.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
217 Postloan Engineering Services Contract-Telecommunication
UTP_form_217.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
242 Assignment of Engineering Service Contract
UTP_form_242.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
245 Engineering Service Contract, Special Services-Telephone
UTP_form_245.pdf
www.usda.gov.rus/telecom/publications/forms.htm
Form
270 Equal Opportunity Addendum
UTP_form_270.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
274 Bidder's Qualifications
UTP_form_274.pdf
www.usda.gov/rus/teledom/publications/forms.htm
Form
276 Bidder's Qualifications for Buried Plant Construction
UTP_form_276.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
281 Tabulation of Materials Furnished by Borrower
UTP_form_281.pdf
www.usda.gov/rus/telecom/publicationsforms.htm
Form
282 Subcontracts-(Under Construction or Equipment Contracts
UTP_form_282.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
284 Certificate of Architect
UTP_form_284.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
375 Interim Financing Construction
UTP_form_375.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
390 Software License Agreement
UTP_form_390.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
506 Statement of Engineering Fees- Telecommunications
UTP_form_506.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
515 Telephone System Construction Contract(Labor & Materials
UTP_form_515.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
521 BiWeekly Progress Report of Telephone Construciton & Eng
UTP_form_521.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
527 Statement of Construction Telephone System-Outside Plant
UTP_form_527.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
724 FInal Inventroy, Telephone Construction Contract (Labor&
UTP_form_724.pdf
htpp://www.usda.gov/rus/telecom/publications/forms.htm
Form
724a Final Inventory, Telephone Construction Cpmtract (Labor
UTP_form_724a.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
724b Final Inventory, Telephone Construction Contract (Labor
UTP_form_724b.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
743 Certificate of Contractor & Indemnity Agreement (Line Ex
UTP_form_743.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
756 Contract Closeout Certification
UTP_form_756.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
771 Summary of Work orders (Inspection by Agency Field Engin
RUS771.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
787 Supplement A to Construction Contract RUS Form 515
RUS-787.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
817 Final Inventory, Telephone Force Account Construction
UTP_form_817.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
817a Final Inventory, Telephone Force Account Construction
UTP_form_817a.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
817b Final Inventory, Telephone Force Account Construction
UTP_form_817b.pdf
www.usda.gov/rus/telecom/publications.forms.htm
Form
835 Preloan Engineering Service Contract, Telephone System D
UTP_form_835.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
771a Summary of Work Orders
rus-771a.pdf
www.usda..gov/rus/telecom/publications/forms.htm
Form
Form 773 Miscellaneous Construction Work and Maintenance Services
RUS-773.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
397b Design Specifications for Trunk Carrier Systems
UTP_form_397b.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
397c Design Specification for Subscriber Carrier Systems
UTP_form_397c.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
397d Design Specifications for Point to Point Microwave Radio
UTP_form_397d.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
397g RUS Performance Specification for Line Concentrators
UTP_form_397g.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
397h Design Specifications for Digital Lightwave Tranmission
UTP_form_397h.pdf
www.usda.gov/rus/telecom/publications/forms.htm
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Telecommunications System Construction Policies and Procedures
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 1753
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
375
Interim Financing Construction
UTP_form_375.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
390
Software License Agreement
UTP_form_390.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
506
Statement of Engineering Fees- Telecommunications
UTP_form_506.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
515
Telephone System Construction Contract(Labor & Materials)
UTP_form_515.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
521
BiWeekly Progress Report of Telephone Construciton & Engineering Services
UTP_form_521.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
527
Statement of Construction Telephone System-Outside Plant
UTP_form_527.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
724
FInal Inventroy, Telephone Construction Contract (Labor& Materials)
UTP_form_724.pdf
htpp://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
724a
Final Inventory, Telephone Construction Cpmtract (Labor & Material)
UTP_form_724a.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
724b
Final Inventory, Telephone Construction Contract (Labor & Material)
UTP_form_724b.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
743
Certificate of Contractor & Indemnity Agreement (Line Extensions)
UTP_form_743.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
756
Contract Closeout Certification
UTP_form_756.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
771
Summary of Work orders (Inspection by Agency Field Engineer)
RUS771.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Paper Only
Form
787
Supplement A to Construction Contract RUS Form 515
RUS-787.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
817
Final Inventory, Telephone Force Account Construction
UTP_form_817.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
817a
Final Inventory, Telephone Force Account Construction
UTP_form_817a.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
817b
Final Inventory, Telephone Force Account Construction
UTP_form_817b.pdf
http://www.usda.gov/rus/telecom/publications.forms.htm
Yes
No
Printable Only
Form
835
Preloan Engineering Service Contract, Telephone System Design
UTP_form_835.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
157
Construction Work Plan & Cost Distribution
UTP_form_157.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
158
Certification of Contractor or Force Account Proposal Approval
RUS158.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Paper Only
Form
159
Summary of Completed Construction
RUS159.pdf
http:/www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
179
Architects and Engineers Qualifications
UTP_form_179.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
216
Construction and Change Order
UTP_form_216.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Paper Only
Form
217
Postloan Engineering Services Contract-Telecommunications Systems
UTP_form_217.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Paper Only
Form
242
Assignment of Engineering Service Contract
UTP_form_242.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
245
Engineering Service Contract, Special Services-Telephone
UTP_form_245.pdf
http://www.usda.gov.rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
270
Equal Opportunity Addendum
UTP_form_270.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
274
Bidder's Qualifications
UTP_form_274.pdf
http://www.usda.gov/rus/teledom/publications/forms.htm
Yes
No
Printable Only
Form
276
Bidder's Qualifications for Buried Plant Construction
UTP_form_276.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
281
Tabulation of Materials Furnished by Borrower
UTP_form_281.pdf
http://www.usda.gov/rus/telecom/publicationsforms.htm
Yes
No
Printable Only
Form
282
Subcontracts-(Under Construction or Equipment Contracts
UTP_form_282.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
284
Certificate of Architect
UTP_form_284.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
771a
Summary of Work Orders
rus-771a.pdf
http://www.usda..gov/rus/telecom/publications/forms.htm
Yes
No
Fillable Printable
Form
Form 773
Miscellaneous Construction Work and Maintenance Services Contract
RUS-773.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Fillable Printable
Form
397b
Design Specifications for Trunk Carrier Systems
UTP_form_397b.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
397c
Design Specification for Subscriber Carrier Systems
UTP_form_397c.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
397d
Design Specifications for Point to Point Microwave Radio Systems
UTP_form_397d.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
397g
RUS Performance Specification for Line Concentrators
UTP_form_397g.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Form
397h
Design Specifications for Digital Lightwave Tranmission Systems
UTP_form_397h.pdf
http://www.usda.gov/rus/telecom/publications/forms.htm
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
110
Number of Respondents for Small Entity:
110
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
6,302
0
920
0
0
5,382
Annual IC Time Burden (Hours)
8,807
0
-1,913
0
0
10,720
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.