Information Collection

Preloan Procedures and Requirements for Telecommunications Program

IC 1793 under ICR 201608-0572-002 · OMB 0572-0079.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0079 can be found here:

Documents and Forms

Document Name Document Type
Form 490 Preloan Procedures and Requirements for Telecommunications Program Form
490 Application for Telecommunications Loan & Loan Guarantee RUS490.pdf www.rd.usda.gov/publications/regulations-guidelines/forms-publications Form
495 Construction Cost Estimates RUS495.PDF www.rd.usda.gov/publications/regulations-guidelines/forms-publications Form
569 RUS Local Service Data From RUS569.PDF www.rd.usda.gov/publications/regulations-guidelines/forms-publications Form
291 Certificate of Nonsegregated Facilities RUS291.pdf www.rd.usda.gov/publications/regulations-guidelines/forms-publications Form
494 Loan Design Summary RUS494.PDF www.rd.usda.gov/publications/regulations-guidelines/forms-publications Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Preloan Procedures and Requirements for Telecommunications Program	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 901et seq. as amended (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	490	Application for Telecommunications Loan & Loan Guarantees	RUS490.pdf	http://www.rd.usda.gov/publications/regulations-guidelines/forms-publications	Yes	No	Fillable Printable
Form	495	Construction Cost Estimates	RUS495.PDF	http://www.rd.usda.gov/publications/regulations-guidelines/forms-publications	Yes	No	Fillable Printable
Form	569	RUS Local Service Data From	RUS569.PDF	http://www.rd.usda.gov/publications/regulations-guidelines/forms-publications	Yes	No	Fillable Printable
Form	291	Certificate of Nonsegregated Facilities	RUS291.pdf	http://www.rd.usda.gov/publications/regulations-guidelines/forms-publications	Yes	No	Fillable Printable
Form	494	Loan Design Summary	RUS494.PDF	http://www.rd.usda.gov/publications/regulations-guidelines/forms-publications	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 17

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17	-19	36
Annual IC Time Burden (Hours)	4,411	1,567	2,844
Annual IC Cost Burden (Dollars)	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.