| USDA - RUS |
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Title of Information Document |
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OMB No. |
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7 CFR 1752 |
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0572-New |
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| SUMMARY OF INFORMATION COLLECTION |
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Servicing of Telecommunications Programs Loans-Financially Distressed Borrwers |
Date Prepared |
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Jul-19 |
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| INSTRUCTIONS: |
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> |
(f) TOTAL |
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(h) TOTAL |
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(k) TOTAL |
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| Use this form when a single information collection document involves multiple reporting and |
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> |
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= (e) Average |
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= (g) Average |
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= (j) Average |
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| recordkeeping requirements. |
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> |
(d) TOTAL |
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(f) TOTAL |
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(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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NO(s) |
NO. OF |
NO. OF |
TOTAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
TOTAL |
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| SECTION OF |
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(If "none" |
RESPON- |
RESPONSES |
ANNUAL |
PER |
HOURS |
RECORD- |
HOURS PER |
RECORD- |
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| 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) |
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| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
(k) |
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| *We anticipate 5 borrowers will request servicing actions. Of those 5 borrowers, we anticipate 3 will require advanced servicing actions |
Reporting Requirements – No Forms |
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| 1752.6(a)(1) |
Servicing Action Request Narrative |
Written |
5 |
1 |
5 |
4 |
20 |
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| 1752.6(a)(2) |
Borrower Financial Statements |
Written |
5 |
1 |
5 |
1.00 |
5 |
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| 1752.6(a)(3) |
Pro Forma 5-year Financial Forecast |
Written |
5 |
1 |
5 |
60.00 |
300 |
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| 1752.6(a)(3) |
Adjustments to Pro-Forma Forecast |
Written |
5 |
3 |
15 |
7.00 |
105 |
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| 1752.6(a)(4) |
Existing and Projected Subscriber Numbers |
Written |
5 |
1 |
5 |
2.63 |
13.125 |
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| 1752.6(a)(5) |
Current Organizational Charts |
Written |
5 |
1 |
5 |
0.63 |
3.125 |
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| 1752.6(a)(5) |
Information Relating Ownership Interest of Borrower and Related or Affiliated Entities |
Written |
5 |
1 |
5 |
0.63 |
3.125 |
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| 1752.6(a)(6) |
List of Collateral |
Written |
5 |
1 |
5 |
2.13 |
10.625 |
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| 1752.6(b)(1) |
Appraisal |
Written |
3 |
1 |
3 |
2.50 |
7.5 |
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| 1752.6(b)(2) |
Itemized List of Liquidation Expenses |
Written |
3 |
1 |
3 |
1.00 |
3 |
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| 1752.6(b)(2) |
Legal Opinion on RUS Interests in the Collateral |
Written |
3 |
1 |
3 |
3.00 |
9 |
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| 1752.6(b)(2) |
Supporting Evidence of UCC Filings |
Written |
3 |
1 |
3 |
1.50 |
4.5 |
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| 1752.6(b)(4) |
Schedule of Non-RUS Debt |
Written |
3 |
1 |
3 |
4.00 |
12 |
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| 1752.6(b)(4) |
Trial Balance of Borrower |
Written |
3 |
1 |
3 |
3.00 |
9 |
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| 1752.6(b)(4) |
Schedule of Accounts Payable by Aging |
Written |
3 |
1 |
3 |
3.00 |
9 |
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| 1752.6(b)(4) |
Schedule of Accounts Recievable by Aging |
Written |
3 |
1 |
3 |
3.00 |
9 |
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| 1752.6(b)(4) |
Fixed Asset Detail List |
Written |
3 |
1 |
3 |
3.00 |
9 |
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| 1752.6(b)(4) |
Inventory Account Detail |
Written |
3 |
1 |
3 |
3.00 |
9 |
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| 1752.6(b)(4) |
Current Year Capital and Operating Budget |
Written |
3 |
1 |
3 |
2.00 |
6 |
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| 1752.6(b)(4) |
Copies of All Licenses, Leases, Contracts, and Agreements |
Written |
3 |
1 |
3 |
4.00 |
12 |
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| 1752.6(b)(4) |
Reimbursement Schedule for Pledged Deposit Account |
Written |
3 |
1 |
3 |
3.00 |
9 |
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| 1752.6(c)(3) |
Additional Reporting and Monitoring Documentation |
Written |
3 |
12 |
36 |
1.13 |
40.5 |
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| 1752.6(c)(4) |
Additional Controls and Limitations Documentation |
Written |
3 |
1 |
3 |
2.00 |
6 |
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| 1752.11 |
3rd Party Loan Documents |
Written |
1 |
1 |
1 |
2.00 |
2 |
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| 1752.16 |
3rd Party Agreements |
Written |
1 |
1 |
1 |
3.00 |
3 |
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| 1752.14 |
Legal Opinion and Board Resolutions Regarding RUS Deferral Agreement |
Written |
5 |
1 |
5 |
10.00 |
50 |
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| 1752.6(b)(4) |
Asset Valuation |
Written |
1 |
1 |
1 |
15.00 |
15 |
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| 1752.6(b)(4) |
Corrected Management Plan |
Written |
1 |
1 |
1 |
10.00 |
10 |
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SUBTOTAL |
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5 |
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137 |
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694.50 |
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0.00 |
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TOTAL OF ALL PAGES |
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0.00 |
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| TOTAL - Columns"F" and I = OMMB 83I, 13b; Columns "H" and "K" = OMB 83I, 13c |
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0.00 |
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Reporting Requirements for Forms Approved under other OMB Numbers |
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| 1752.16 |
Request for Release of Lien And/Or Approval of Sale |
RUS Form 793 |
3 |
1 |
3 |
2.75 |
8.25 |
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0.00 |
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0572-0041 |
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Subtotal |
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3 |
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3 |
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8.25 |
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0 |
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| RUS Form 36 (07-91) |
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Page __2__ of __3__ |
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Annual Burden Hours |
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695 |
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Record Keeping Hours |
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TOTAL ANNUAL BURDEN AND RECORDKEEPING HOURS |
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Total Burden Hours |
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695 |
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