Telecommunications System Construction Policies and Procedures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 835 Pre-loan Engineering Service Contract, Telephone System Design	Form	Modified	Available
Form 817b Final Inventory, Telephone Force Account Construction	Form	Modified	Available
Form 817a Final Inventory, Telephone Force Account Construction	Form	Modified	Available
Form 817 Final Inventory, Telephone Force Account Construction	Form	Modified	Available
Form 787 Supplement A to Construction Contract RUS Form 515	Form	Modified	Available
Form 773 Miscellaneous Construction Work and Maintenance Service Contract	Form	Modified	Available
Form 771a Summary of Work Orders	Form	Modified	Available
Form 771 Summary of Work Orders (Inspection by RUS Field Engineer)	Form	Modified	Available
Form 756 Contract Closeout Certification	Form	Modified	Available
Form 743 Certificate of Contractor and Indemnity Agreement (Line Extensions)	Form	Modified	Available
Form 724b Final Inventory, Telephone Construction Contract (Labor and Materials)	Form	Modified	Available
Form 724a Final Inventory, Telephone Construction Contract (Labor and Material)	Form	Modified	Available
Form 724 Final Inventory, Telephone Construction Contract (Labor and Materials)	Form	Modified	Available
Form 527 Statement of Construction Telephone System - Outside Plant	Form	Modified	Available
Form 521 Biweekly Progress Report of Telephone Construction and Engineerng Service	Form	Modified	Available
Form 515 Telephone System Construction Contract (Labor and Materials)	Form	Modified	Available
Form 506 Statement of Engineering Fees - Telecommunications	Form	Modified	Available
Form 390 Software License Agreement	Form	Modified	Available
Form 375 Interim Financing Construction	Form	Modified	Available
Form 284 Certificate of Architect-Approval of final statement of cost	Form	Modified	Available
Form 282 Approval of Subcontracts	Form	Modified	Available
Form 281 Tabulation of Materials Furnished by Borrower	Form	Modified	Available
Form 276 Bidder's Qualifications for Buried Plant Construction	Form	Modified	Available
Form 274 Bidder's Qualifications	Form	Modified	Available
Form 270 Equal Opportunity Addendum	Form	Modified	Available
Form 245 Engineering Service Contract - Special Services - Telephone	Form	Modified	Available
Form 242 Assignment of Engineering Service Contract	Form	Modified	Available
Form 217 Post Loan Engineering Service Contract	Form	Modified	Available
Form 216 Construction Change Order	Form	Modified	Available
Form 179 Architects and Engineers Qualifications	Form	Modified	Available
Form 159 Summary of Completed Construction	Form	Modified	Available
Form 158 Certification of Contractor or Force Account Proposal Approval	Form	Modified	Available
Form 157 Construction Work Plan and Cost Distribution	Form	Modified	Available
PART 1753.docx	Supplementary Document	Uploaded 2024-10-21	Available
0572-0059 60 day Notice 8.13.2024.pdf	Supplementary Document	Uploaded 2024-10-21	Available
0572-0059 Burden Worksheet-10.21.2024.xlsx	Supplementary Document	Uploaded 2024-10-21	Available
0572-0059-Supporting Statement-10.21.2024.docx	Supporting Statement A	Uploaded 2024-10-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Pre-loan Engineering Service Contract, Telephone System Design
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Force Account Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Force Account Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Force Account Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Supplement A to Construction Contract RUS Form 515
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Miscellaneous Construction Work and Maintenance Service Contract
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Summary of Work Orders
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Summary of Work Orders (Inspection by RUS Field Engineer)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Contract Closeout Certification
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certificate of Contractor and Indemnity Agreement (Line Extensions)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Construction Contract (Labor and Materials)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Construction Contract (Labor and Material)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Final Inventory, Telephone Construction Contract (Labor and Materials)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Statement of Construction Telephone System - Outside Plant
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Biweekly Progress Report of Telephone Construction and Engineerng Service
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Telephone System Construction Contract (Labor and Materials)
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Statement of Engineering Fees - Telecommunications
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Software License Agreement
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Interim Financing Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certificate of Architect-Approval of final statement of cost
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Approval of Subcontracts
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Tabulation of Materials Furnished by Borrower
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Bidder's Qualifications for Buried Plant Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Bidder's Qualifications
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Equal Opportunity Addendum
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Engineering Service Contract - Special Services - Telephone
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Assignment of Engineering Service Contract
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Post Loan Engineering Service Contract
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Construction Change Order
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Architects and Engineers Qualifications
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Summary of Completed Construction
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Certification of Contractor or Force Account Proposal Approval
1786	Telecommunications System Construction Policies and Procedures	Form	Modified	Construction Work Plan and Cost Distribution

ICR Details

OMB Control No: 0572-0059	ICR Reference No: 202410-0572-002
Status: Received in OIRA	Previous ICR Reference No: 202001-0572-005
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: Telecommunications System Construction Policies and Procedures
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/21/2025

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	3,335	3,318
Time Burden (Hours)	7,703	6,610
Cost Burden (Dollars)	0	0

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Abstract: In order to facilitate the programmatic interest of the RE act, and, to assure that loans made or guaranteed by RUS are adequately secured, RUS, as a secured lender, has established certain forms for materials, equipment and construction of telecommunications systems. The use of standard forms, construction contracts, and procurement procedures help assure RUS that appropriate standards and specifications are maintained, RUS' loan security is not adversely affected; and the loan and loan guarantee funds are used effectively and for the intended purposes.

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Authorizing Statute(s): US Code: 7 USC 901 Name of Law: RE Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 65842	08/13/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 7071	01/21/2025
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Telecommunications System Construction Policies and Procedures	515, 284, 390, 506, 521, 724, 724a, 724b, 743, 756, 771, 771a, 773, 787, 817a, 817b, 835, 817, 375, 527, 245, 158, 270, 157, 159, 179, 216, 217, 242, 274, 276, 281, 282	Construction Work Plan and Cost Distribution ,   Certification of Contractor or Force Account Proposal Approval ,   Summary of Completed Construction ,   Architects and Engineers Qualifications ,   Construction Change Order ,   Post Loan Engineering Service Contract ,   Assignment of Engineering Service Contract ,   Engineering Service Contract - Special Services - Telephone ,   Equal Opportunity Addendum ,   Bidder's Qualifications ,   Bidder's Qualifications for Buried Plant Construction ,   Tabulation of Materials Furnished by Borrower ,   Approval of Subcontracts ,   Certificate of Architect-Approval of final statement of cost ,   Interim Financing Construction ,   Software License Agreement ,   Statement of Engineering Fees - Telecommunications ,   Telephone System Construction Contract (Labor and Materials) ,   Biweekly Progress Report of Telephone Construction and Engineerng Service ,   Statement of Construction Telephone System - Outside Plant ,   Final Inventory, Telephone Construction Contract (Labor and Materials) ,   Final Inventory, Telephone Construction Contract (Labor and Material) ,   Final Inventory, Telephone Construction Contract (Labor and Materials) ,   Certificate of Contractor and Indemnity Agreement (Line Extensions) ,   Contract Closeout Certification ,   Summary of Work Orders (Inspection by RUS Field Engineer) ,   Summary of Work Orders ,   Miscellaneous Construction Work and Maintenance Service Contract ,   Supplement A to Construction Contract RUS Form 515 ,   Final Inventory, Telephone Force Account Construction ,   Final Inventory, Telephone Force Account Construction ,   Final Inventory, Telephone Force Account Construction ,   Pre-loan Engineering Service Contract, Telephone System Design

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	3,335	3,318	0	0	17	0
Annual Time Burden (Hours)	7,703	6,610	0	0	1,093	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: This is a revision to a currently approved package. Since the previous submission, there has been an increase of two (2) respondents (1,432 to 1,434), an increase of 17 responses (3,318 to 3,335) and an increase of 1,093 burden hours (6,610 to 7,703). The data employed was made up of the quantity of actual borrower responses during the time period over 2020 through 2022 as included in the Engineering Branch logs of the RUS Telecommunications Program. The increase can be attributed to the last burden worksheet having several items marked as zero. However, even though the items may not have been used over the last couple of years, they are still active forms and it is possible they may be submitted. Based on this, a one (1) was used as a placeholder to account for the possibility of burden.

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Annual Cost to Federal Government: $1,492,943

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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Common Form ICR:  No

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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: 01/21/2025

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