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Federal forms, ICRs, and supporting documents

Information Collection Request

New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers

ICR 201907-0572-001 · OMB 0572-0149 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 395 New Equipment Contract (RUS Contract Form 395) for Telecommunications and Broadband Borrowers Form Modified Available
2019 - 0572-0149 form 36 11-18-19.xls Supplementary Document Uploaded 2019-11-18 Repair queued
FR 60-Day Notice - 0572-0149.docx Supplementary Document Uploaded 2019-07-09 Repair queued
0572-0149 60-day FR notice.pdf Supplementary Document Uploaded 2019-07-09 Available
2019 - 0572-0149 Supporting Statement 11-18-19.docx Supporting Statement A Uploaded 2019-11-18 Available
SF LLL.pdf Supplementary Document Uploaded 2019-07-08 Available
RUS 213.pdf Supplementary Document Uploaded 2019-07-08 Available
form_238.pdf Supplementary Document Uploaded 2019-07-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
210082 New Equipment Contract (RUS Contract Form 395) for Telecommunications and Broadband Borrowers Form Modified
ICR Details
0572-0149 201907-0572-001
Active 201610-0572-002
USDA/RUS
New Equipment Contract (Form 395) for Telecommunications and Broadband Borrowers
Revision of a currently approved collection   No
Regular
Approved with change 12/12/2019
Retrieve Notice of Action (NOA) 10/17/2019
In accordance with 5 CFR 1320, the information collection is approved for three years.
  Inventory as of this Action Requested Previously Approved
12/31/2022 36 Months From Approved 12/31/2019
235 0 1,407
160 0 890
0 0 0
In an effort to improve customer service to the RUS rural borrowers, the Agency has proposed to revise and streamline its current contracts. RUS has and will continue to work with industry groups to obtain their input as to what types of changes the borrowers may want to see made to the contracts.
US Code: 7 USC 901 et seq.,as amended Name of Law: RE Act
  
None
Not associated with rulemaking
  84 FR 19902 05/07/2019
84 FR 55543 10/17/2019
No
  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 235 1,407 0 0 -1,172 0
Annual Time Burden (Hours) 160 890 0 0 -730 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The number of respondents has changed since the last burden package was submit. These changes are a result of a lower number of actual applicants receiving financial assistance for new equipment.
$39,941
No
    No
    No
No
No
No
Uncollected
Diane Berger 715 619-3124 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/17/2019