Information Collection

Telecommunications System Construction Policies and Procedures

IC 1786 under ICR 202410-0572-002 · OMB 0572-0059.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 157
Construction Work Plan and Cost Distribution Telecommunications System Construction Policies and Procedures
Form
Form 158
Certification of Contractor or Force Account Proposal Approval Telecommunications System Construction Policies and Procedures
Form
Form 159
Summary of Completed Construction Telecommunications System Construction Policies and Procedures
Form
Form 179
Architects and Engineers Qualifications Telecommunications System Construction Policies and Procedures
Form
Form 216
Construction Change Order Telecommunications System Construction Policies and Procedures
Form
Form 217
Post Loan Engineering Service Contract Telecommunications System Construction Policies and Procedures
Form
Form 242
Assignment of Engineering Service Contract Telecommunications System Construction Policies and Procedures
Form
Form 245
Engineering Service Contract - Special Services - Telephone Telecommunications System Construction Policies and Procedures
Form
Form 270
Equal Opportunity Addendum Telecommunications System Construction Policies and Procedures
Form
Form 274
Bidder's Qualifications Telecommunications System Construction Policies and Procedures
Form
Form 276
Bidder's Qualifications for Buried Plant Construction Telecommunications System Construction Policies and Procedures
Form
Form 281
Tabulation of Materials Furnished by Borrower Telecommunications System Construction Policies and Procedures
Form
Form 282
Approval of Subcontracts Telecommunications System Construction Policies and Procedures
Form
Form 284
Certificate of Architect-Approval of final statement of cost Telecommunications System Construction Policies and Procedures
Form
Form 375
Interim Financing Construction Telecommunications System Construction Policies and Procedures
Form
Form 390
Software License Agreement Telecommunications System Construction Policies and Procedures
Form
Form 506
Statement of Engineering Fees - Telecommunications Telecommunications System Construction Policies and Procedures
Form
Form 515
Telephone System Construction Contract (Labor and Materials) Telecommunications System Construction Policies and Procedures
Form
Form 521
Biweekly Progress Report of Telephone Construction and Engineerng Service Telecommunications System Construction Policies and Procedures
Form
Form 527
Statement of Construction Telephone System - Outside Plant Telecommunications System Construction Policies and Procedures
Form
Form 724
Final Inventory, Telephone Construction Contract (Labor and Materials) Telecommunications System Construction Policies and Procedures
Form
Form 724a
Final Inventory, Telephone Construction Contract (Labor and Material) Telecommunications System Construction Policies and Procedures
Form
Form 724b
Final Inventory, Telephone Construction Contract (Labor and Materials) Telecommunications System Construction Policies and Procedures
Form
Form 743
Certificate of Contractor and Indemnity Agreement (Line Extensions) Telecommunications System Construction Policies and Procedures
Form
Form 756
Contract Closeout Certification Telecommunications System Construction Policies and Procedures
Form
Form 771
Summary of Work Orders (Inspection by RUS Field Engineer) Telecommunications System Construction Policies and Procedures
Form
Form 771a
Summary of Work Orders Telecommunications System Construction Policies and Procedures
Form
Form 773
Miscellaneous Construction Work and Maintenance Service Contract Telecommunications System Construction Policies and Procedures
Form
Form 787
Supplement A to Construction Contract RUS Form 515 Telecommunications System Construction Policies and Procedures
Form
Form 817
Final Inventory, Telephone Force Account Construction Telecommunications System Construction Policies and Procedures
Form
Form 817a
Final Inventory, Telephone Force Account Construction Telecommunications System Construction Policies and Procedures
Form
Form 817b
Final Inventory, Telephone Force Account Construction Telecommunications System Construction Policies and Procedures
Form
Form 835
Pre-loan Engineering Service Contract, Telephone System Design Telecommunications System Construction Policies and Procedures
Form
157 Construction Work Plan and Cost Distribution
Form 157.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
158 Certification of Contractor or Force Account Proposal Ap
Form 158.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
159 Summary of Completed Construction
Form 159.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
179 Architects and Engineers Qualifications
Form 179.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
216 Construction Change Order
Form 216.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
217 Post Loan Engineering Service Contract
Form 217.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
242 Assignment of Engineering Service Contract
Form 242.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
245 Engineering Service Contract - Special Services - Teleph
Form 245.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
270 Equal Opportunity Addendum
Form 270.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
274 Bidder's Qualifications
Form 274.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
276 Bidder's Qualifications for Buried Plant Construction
Form 276.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
281 Tabulation of Materials Furnished by Borrower
Form 281.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
282 Approval of Subcontracts
Form 282.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
284 Certificate of Architect-Approval of final statement of
Form 284.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
375 Interim Financing Construction
Form 375.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
390 Software License Agreement
Form 390.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
506 Statement of Engineering Fees - Telecommunications
Form 506.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
515 Telephone System Construction Contract (Labor and Materi
Form 515 contract.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
521 Biweekly Progress Report of Telephone Construction and E
Form 521.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
527 Statement of Construction Telephone System - Outside Pla
Form 527.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
724 Final Inventory, Telephone Construction Contract (Labor
Form 724.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
724a Final Inventory, Telephone Construction Contract (Labor
Form 724a.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
724b Final Inventory, Telephone Construction Contract (Labor
Form 724b.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
743 Certificate of Contractor and Indemnity Agreement (Line
Form 743.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
756 Contract Closeout Certification
Form 756.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
771 Summary of Work Orders (Inspection by RUS Field Engineer
Form 771.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
771a Summary of Work Orders
Form 771a.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
773 Miscellaneous Construction Work and Maintenance Service
Form 773.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
787 Supplement A to Construction Contract RUS Form 515
Form 787.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
817 Final Inventory, Telephone Force Account Construction
Form 817.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
817a Final Inventory, Telephone Force Account Construction
Form 817a.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
817b Final Inventory, Telephone Force Account Construction
Form 817b.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form
835 Pre-loan Engineering Service Contract, Telephone System
Form 835.pdf

www.rd.usda.gov/resources/forms/rus-forms
Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 157 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 158 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 159 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 179 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 216 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 217 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 242 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 245 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 270 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 274 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 276 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 281 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 282 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 284 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 375 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 390 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 506 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 515 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 521 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 527 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 724 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 724a https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 724b https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 743 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 756 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 771 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 771a https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 773 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 787 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 817 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 817a https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 817b https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 835 https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 3,335 0 0 17 0 3,318
Annual IC Time Burden (Hours) 7,703 0 0 1,093 0 6,610
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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