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Federal forms, ICRs, and supporting documents

Information Collection

Telecommunications System Construction Policies and Procedures

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

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Information Collection (IC) Details

View Information Collection (IC)

Telecommunications System Construction Policies and Procedures
 
No Modified
 
Required to Obtain or Retain Benefits
 
7 CFR 1753

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 157 Construction Work Plan and Cost Distribution Form 157.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 158 Certification of Contractor or Force Account Proposal Approval Form 158.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 159 Summary of Completed Construction Form 159.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 179 Architects and Engineers Qualifications Form 179.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 216 Construction Change Order Form 216.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 217 Post Loan Engineering Service Contract Form 217.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 242 Assignment of Engineering Service Contract Form 242.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 245 Engineering Service Contract - Special Services - Telephone Form 245.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 270 Equal Opportunity Addendum Form 270.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 274 Bidder's Qualifications Form 274.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 276 Bidder's Qualifications for Buried Plant Construction Form 276.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 281 Tabulation of Materials Furnished by Borrower Form 281.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 282 Approval of Subcontracts Form 282.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 284 Certificate of Architect-Approval of final statement of cost Form 284.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 375 Interim Financing Construction Form 375.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 390 Software License Agreement Form 390.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 506 Statement of Engineering Fees - Telecommunications Form 506.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 515 Telephone System Construction Contract (Labor and Materials) Form 515 contract.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 521 Biweekly Progress Report of Telephone Construction and Engineerng Service Form 521.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 527 Statement of Construction Telephone System - Outside Plant Form 527.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 724 Final Inventory, Telephone Construction Contract (Labor and Materials) Form 724.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 724a Final Inventory, Telephone Construction Contract (Labor and Material) Form 724a.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 724b Final Inventory, Telephone Construction Contract (Labor and Materials) Form 724b.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 743 Certificate of Contractor and Indemnity Agreement (Line Extensions) Form 743.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 756 Contract Closeout Certification Form 756.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 771 Summary of Work Orders (Inspection by RUS Field Engineer) Form 771.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 771a Summary of Work Orders Form 771a.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 773 Miscellaneous Construction Work and Maintenance Service Contract Form 773.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Fillable Printable
Form 787 Supplement A to Construction Contract RUS Form 515 Form 787.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 817 Final Inventory, Telephone Force Account Construction Form 817.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 817a Final Inventory, Telephone Force Account Construction Form 817a.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 817b Final Inventory, Telephone Force Account Construction Form 817b.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only
Form 835 Pre-loan Engineering Service Contract, Telephone System Design Form 835.pdf https://www.rd.usda.gov/resources/forms/rus-forms Yes No Printable Only

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  89 FR 65842

1,434 1,434
   
Private Sector Businesses or other for-profits
 
   0 %

  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

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.