Information Collection Request

The Rural eConnectivity Pilot Program ( ReConnect Program).

ICR 201811-0572-001 · OMB 0572-0152 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Clearance-Pilot BB(ReConnect) FOA_11-30-2018.docx Supplementary Document Uploaded 2018-12-03 Available
ROCIS- FINAL 12-3-18_PilotSupportingStmt..xlsx Supplementary Document Uploaded 2018-12-03 Available
Summary Highlights of BB Pilot Comments(2).docx Supplementary Document Uploaded 2018-12-03 Available
11-14-18_PilotSupportingStmt_Rev. 2-mpd.xlsx Supplementary Document Uploaded 2018-11-15 Available
ROCIS-Final-SS - ReConnect BBPilot FOA(12-3-2018).docx Supporting Statement A Uploaded 2018-12-03 Available
RUS Form 743-Certificate of Contractor and Indemnity Agreement.pdf Supplementary Document Uploaded 2018-11-15 Available
RUS Form 270- Equal Opportunity Addendum.pdf Supplementary Document Uploaded 2018-11-15 Available
RUS Form 216-Construction Change Order.pdf Supplementary Document Uploaded 2018-11-15 Available
RUS Form 224 -Waiver and Release of Lien.pdf Supplementary Document Uploaded 2018-11-15 Available
RUS Form 526-Construction Contract Amendment.pdf Supplementary Document Uploaded 2018-11-15 Available
Clearance-Pilot BB(ReConnect) FOA_11-9-2018(final).docx Supplementary Document Uploaded 2018-11-13 Available
Signed-OMB Emerg.Req.Ltr.forICP.pdf Supplementary Document Uploaded 2018-11-07 Available
sec.779 fy 2018 approps..pdf Supplementary Document Uploaded 2018-11-07 Available
SORN.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS 220-ARCHITECTURAL SERVICES CONTRACT.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS 675-CERTIFICATE OF AUTHORITY.pdf Supplementary Document Uploaded 2018-11-06 Available
Form_481-FINANCIAL REQUIREMENT STATEMENT.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS 307-BID BOND.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS-257-CONTRACT TO CONSTRUCT BUILDINGS.pdf Supplementary Document Uploaded 2018-11-06 Available
Form_238-CONSTRUCTION OR EQUIPMENT.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS 231-CERTIFICATE OF CONTRACTOR.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS395b-CERTIFICATE OF COMPLETION.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS395a-CERTIFICATE OF COMPLETION.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS 395-Equipment Contract.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS 213-Certificate (BuyAmerican).pdf Supplementary Document Uploaded 2018-11-06 Available
Form_181-CERTIFICATE OF COMPLETION.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS 168-B-CONTRACTOR'S BOND.pdf Supplementary Document Uploaded 2018-11-06 Available
Form 835-PreloanEngin.Serv.Contract-TelephoneSystm.desgn..pdf Supplementary Document Uploaded 2018-11-06 Available
Form_787-SUPPLEMENT A-ToConstructn.Contract - RUS FORM515.pdf Supplementary Document Uploaded 2018-11-06 Repair queued
RUS 773-Miscellaneous Construction Work and Maintenance.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS771-A -SUMMARY OF WORK ORDERS.pdf Supplementary Document Uploaded 2018-11-06 Available
Form 756-CONTRACT CLOSEOUT CERTIFICATION.pdf Supplementary Document Uploaded 2018-11-06 Available
Form 724b-FinalInventory teelephon Construction(L&M)(removals).pdf Supplementary Document Uploaded 2018-11-06 Available
Form 724a-Final Inventory-TelephoneConstructionContract (L&M)(Tabulation of AssemblyUnits).pdf Supplementary Document Uploaded 2018-11-06 Available
Form -724-Final InventoryTelephone ConstructionContract (Labor&Material).pdf Supplementary Document Uploaded 2018-11-06 Available
RUS Form -515-Telecommunications SystemconstructionContract.pdf Supplementary Document Uploaded 2018-11-06 Available
Form_506-STATEMENT OF ENGINEERING FEES.pdf Supplementary Document Uploaded 2018-11-06 Available
RUS Form 282 - SubcontractsUnderConstrc.or Equipmment.pdf Supplementary Document Uploaded 2018-11-06 Available
Form_281-Tabulation of Materials Furnished by Borrowers.pdf Supplementary Document Uploaded 2018-11-06 Available
Form 284-Certificate of Architect.pdf Supplementary Document Uploaded 2018-11-06 Available
Form 245 -Engin. Serv. Contract (minor Construcn.).pdf Supplementary Document Uploaded 2018-11-06 Available
FORM 217-Post loan Eng.Serv.Contract.pdf Supplementary Document Uploaded 2018-11-06 Available
AD-3030 REPRESENTATIONS REGARDING FELONY CONVICTION.pdf Supplementary Document Uploaded 2018-11-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234052 ReConnect (Pilot) Program -State, Tribal & Local Governments Other-null New
233929 ReConnect (Pilot) Program - Private Sector Other-null New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2019 6 Months From Approved
69,920 0 0
477,820 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
ReConnect (Pilot) Program - Private Sector
ReConnect (Pilot) Program -State, Tribal & Local Governments

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 69,920 0 0 69,920 0 0
Annual Time Burden (Hours) 477,820 0 0 477,820 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No