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

IC 210082 under ICR 202202-0572-003 · OMB 0572-0149.

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New Equipment Contract (RUS Contract Form 395) for Telecommunications and Broadband Borrowers
 
No Modified
 
Required to Obtain or Retain Benefits
 
7 CFR 1755 7 CFR 1753

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 395 RUS Contract Form 395 RUS 395.pdf http://www.rurdev.usda.gov/UP_ETPW_Forms.html#Telecom Yes No Printable Only
Form 395a RUS Form 395a - CERTIFICATE OF COMPLETION Form 395a FINAL.docx tp://www.rurdev.usda.gov/UP_ETPW_Forms.html#Telecom Yes No Printable Only
Form 395b RUS Form 395b - Certificate of Completion RUS 395b.pdf http://www/rurdev.usda.gov/UP_ETPW_Forms.html#telecom Yes No Printable Only
Form 395c RUS Form 395c - Certificate of Seller RUS 395c.pdf http://www/rurdev.usda.gov/UP_ETPW_Forms.html#Telecom Yes No Printable Only
Form 395d RUS Form 395d - Results Of Equiptment Tests RUS 395d.pdf http://www/rurdev.usda.gov/UP_ETPW_Forms.html#Telecom Yes No Printable Only
Form AD 1048 Debarment Certificate - Lower Tier Covered AD-1048 DebarmentCert-LowerTierCovered.pdf Yes Yes Fillable Fileable
Other-Non Form This is a place holder for the following non-form reporting requirements.docx Yes Yes Fillable Printable

Economic Development Business and Industry Development

USDA/RD–1 Current or Prospective Producers or Landowners, Applicants, Borrowers, Grantees, Tenants, and other participants in RD programs.  87 FR 21315

28 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 161 0 -74 0 0 235
Annual IC Time Burden (Hours) 114 0 -46 0 0 160
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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