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["                                                                    USDA - RUS",null,"Title  of  Information  Document",{"$nulls":5},"OMB  No."]
[null,null,"Telecommunication Engineering & Construction",{"$nulls":6},"0572-0059"]
[" SUMMARY  OF  INFORMATION  COLLECTION",null,"Contracts",{"$nulls":5},"Date  Prepared"]
[{"$nulls":8},2020]
[" INSTRUCTIONS:"," ",null,null,">","(f)  TOTAL",null,"(h)  TOTAL",null,"(k)  TOTAL"]
["Use this form when a single information collection document involves multiple reporting and                  ",null,null,null,">","-","= (e)  Average","-","= (g)  Average","-","= (j)  Average"]
["  recordkeeping requirements.  ",null,null,null,">","(d)  TOTAL",null,"(f)  TOTAL",null,"(i)  TOTAL"]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS",null,null,null,"RECORDS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL","NO.  OF","ANNUAL","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS","RECORD-","HOURS  PER","RECORD-"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)","KEEPERS","RECORD-","KEEPING"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)",null,null,null,"KEEPER","HOURS"]
[{"$nulls":4},"DENT",{"$nulls":5},"(Col.  i  &  j)"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)","(i)","(j)","(k)"]
[]
[null,"Construction Certification Program",{"$nulls":6}," "," "," "]
[{"$nulls":10}," "]
[1753,"Construction Work Plan and Cost Distribution",157,8,1,8,12,96," "," "," "]
["Subpart J"]
[]
[1753,"Certification of Contractor or Force Account Proposal ",158,8,1,8,3,24," "," "," "]
["Subpart J","Approval"]
[]
[1753,"Summary of Completed Construction",159,2,1,2,6,12]
["Subpart J"]
[]
[1753,"Certification Borrower Contract Addendum ","N/A",0,0,0,1,0]
["Subpart J",null,null,0,0,0]
[]
[]
[]
[]
[null,"Architects and Engineers Qualifications",179,6,1,6,2,12]
[]
[{"$nulls":5}," ",null," "]
["1753.48(g)","Construction Change Order",216,60,1,60,1,60]
[null,"●  When changes or correction are necessary the borrower's ",{"$nulls":5}," "]
[null,"engineer will prepare a construction change order.  A copy ",null,null,null," ",null," "]
[null,"of each is attached to the construction inventory required",null,null,null," ",null," "]
[null,"to close out the contract",null,null,null," ",null," "]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[null,"Engineering and Architectural Services"]
[{"$nulls":5}," ",null," "]
[1753,"Postloan Engineering Service Contract",217]
["Subpart B","●  Approval of Postloan Engineering Service Contract ",null,66,1,66,7,462]
[null,"●  Approval of Postloan Engineering… - Broadband Program",null,5,1,5,7,35]
[null,"The Postloan Engr. Serv. Contract inclds. using the following forms:"]
[null,"RUS Form 217a-Project Design, Assistance and Coordination:  "]
[null,"RUS Form 217b-Central Office Equipment Engineering Services;"]
[null,"RUS Form 217c-Transmission Facilities Engineering Services;"]
[null,"RUS Form 217d-Building Engineering Services;"]
[null,"RUS Form 217e-Outside Plant Staking Services;"]
[null,"RUS Form 217f-Outside Plant Contract Doc. Phase Engr. Servs."]
[null,"RUS Form 217g-Outside Plant Construction Phase Engr. Servs."]
[]
[]
[]
[null,"Miscellaneous Engineering Services Forms"]
[]
[null,"Assignment of Engineering Service Contract",242,0,0,0,0.5,0]
[]
["1753.15,","Engineering Service Contract - Special Services - Telephone",245,1,1,1,0.75,0.75]
[81,"●  Engineering services for minor construction may be "]
[null,"contracted using Form 245 (This contract form does not ",null,null,null," "," "," "]
[null,"require RUS approval).",null,null,null," ",null," "]
[]
[]
[]
["RE Act","Equal Opportunity Addendum",270]
["NAFTA","●  Form 773 issued for minor construction by contract.",null,26,2.22,57.720000000000006,0.25,14.430000000000001]
[null,"●  Form 773, small scale constuction - Broadband Program",null,4,3.33,13.32,0.25,3.33]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[1753.49,"Bidder's Qualifications"]
[null,"●  Submission of bidders' qualifications to the borrower and its ",274,51,3.8,193.79999999999998,1,193.79999999999998]
[null,"engineer.",null,null,null," ",null," "]
[]
[1753.49,"Bidder's Qualifications for Buried Plant Construction",null,null,null," ",null," "]
[null,"●  Submission of bidders' qualifications to the borrower and its",276,null,null," ",null," "]
[null,"engineer.",null,46,3.8,174.79999999999998,1,174.79999999999998]
[{"$nulls":5}," ",null," "]
[175349,"Tabulation of Materials Furnished by Borrower",null,null,null," ",null," "]
[null,"●  Closeout of major outside plans construction by contract.",281," "," "," ",null," "]
[null,null,null,60,3.84,230.39999999999998,2,460.79999999999995]
["1753.8(b)","Subcontracts (Under Construction or Equipment)",null,null,null," ",null," "]
[null,"●  Approval of subcontracts (per 1753.8(b))",282,334,2.28,761.52,0.75,571.14]
[]
[1753.16,"Certificate of Architect",null,null,null," ",null," "]
[null,"●  Approval of final statement of cost-architectural services",284,0,0,0,0.5,0]
[null,"●  Approval of final statement… - Broadband Program",284,0,1,0,0.5,0]
[]
[]
[1737,"Interim Financing Construction",375,null,null," "," "," "]
["Subpart E","Telecommunications Program",null,25,1.2,30,0.25,7.5]
[null,"Broadband Program",null,0,0,0,0.25,0]
[]
["1753.38","Software License Agreement",390,null,null," ",null," "]
[null,"Telecommunications Program",null,0,1.6,0,1,0]
[null,"Broadband Program",null,0,5.4,0,1,0]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[]
[]
[]
[null,"Statement of Engineering Fees - Telecommunications",null,null,null," ",null," "]
[1753.17,"●  Estimates ",506,66,1,66,6,396]
[null,"●  Estimates - Broadband Program",null,5,1,5,6,30]
[1753.17,"●  Final",null,66,1,66,6,396]
[null,"●  Final - Broadband Program",null,5,1,5,6,30]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[null,"Major Outside Plant Construction"]
[null,null,null," "," "," "," "," "]
[null,"Telephone System Construction Contract (Labor and Materials)"]
[1753.47,"●  Approval of plans and specifications for major outside",515,null,null," ",null," "]
[null,"plant construction by contract",null,60,3.8,228,4,912]
[1753.48,"●  Approval of the outside plant contract",null,60,3.8,228,6,1368]
[null,"●  Approval of plans and specifications for major outside",null," "," "]
[null,"plant construction by contract - Broadband Program",null,0,1.4,0,8,0]
[null,"●  Approval of the outside plant contract - Broadband",null,0,1.4,0,4,0]
[1753.48,"●  Owner-Furnished Materials"," ","Information included under RUS Form 787 below."]
[1753.48,"●  Approval of negotiated contracts",null,3,1,3,2,6]
[null,"●  Approval of negotiated contracts - Broadband",null,1,1,1,4,4]
[null,"●  Owner-Furnished Materials - Broadband"," ","Information included under RUS Form 787 below."]
[]
[]
[1753.39,"Results of Acceptance Test",517,0,2.02,0,1,0]
[]
["1753.57","Biweekly Progress Report of Telephone Construction"]
[null,"and Engineering Service",521,2,26,52,1,52]
[]
[]
[]
[]
["1753.49","Statement of Construction Telephone System - Outside Plant"]
["Subpart F","●  Closeout of major outside plant construction by contract",527,60,2.02,121.2,1.25,151.5]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[]
[]
[]
[null,"Miscellaneous Outside Plant Construction Forms"]
[]
[1753.49,"Final Inventory, Telephone Construction Contract "]
[null,"(Labor and Materials)",724,60,2.02,121.2,0.75,90.9]
[null,"●  Closeout of major outside plant construction by contract",null,null,null," ",null," "]
[{"$nulls":5}," ",null," "]
[1753.49,"Final Inventory, Telephone Construction Contract",null,null,null," ",null," "]
[null,"(Labor and Materials) - Detailed","724a",60,2.02,121.2,3,363.6]
[null,"●  Tabulation of Assembly Units",null,null,null," ",null," "]
[]
[1753.49,"Final Inventory, Telephone Construction Contract",null,null,null," ",null," "]
[null,"(Labor and Materials) - Detailed","724b",0,2.02,0,0.75,0]
[null,"●  Removals",null,null,null," ",null," "]
[{"$nulls":5}," ",null," "]
["1753.78","Certificate of Contractor and Indemnity Agreement ",null,null,null," ",null," "]
[null,"(Line Extensions)",743]
[null,"●  Upon completion and inspection the borrower obtains ",null,null,null," ",null," "]
[null,"from the contractor a final invoice and Form 743",null,26,2.22,57.720000000000006,0.5,28.860000000000003]
[null,"●  Upon completion and inspection the borrower obtains "]
[null,"from the contractor a final invoice and Form 743 - Broadband",null,4,2.33,9.32,0.5,4.66]
[]
[{"$nulls":5}," ",null," "]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[null,"Contract Closeout Certification",null,null,null," ",null," "]
[1753.18,"● Non-form certification","N/A",60,1,60,0.5,30]
[null,"● Broadband Program",756,0,1.6,0,0.5,0]
[]
["1753.81-82","Summary of Work Order",null,null,null," ",null," "]
[null,"Inspection by GFR",771,30,2.23,66.9,0.5,33.45]
[null,"Inspection by licensed Engineer or Borrower's Staff Engineer","771a",26,2.22,57.720000000000006,0.5,28.860000000000003]
[null,"Broadband Program","771a",4,2.33,9.32,0.5,4.66]
[]
[1753,"Miscellaneous Construction Work and Maintenance",null,null,null," ",null," "]
[null,"Service Contract",773]
[null,"●  Issued for minor construction by contract",null,26,2.22,57.720000000000006,2,115.44000000000001]
[null,"●  Issued for  small-scale construction -Broadband Program",null,4,2.33,9.32,3,27.96]
[{"$nulls":5}," ",null," "]
["1753.48 (f)","Supplement A to Construction Contract RUS Form 515",787,null,null," ",null," "]
[null,"●  Approval  for the borrower to furnished materials for  outside",null,null,null," ",null," "]
[null,"plant construction by contract",null,26,3.85,100.10000000000001,0.25,25.025000000000002]
[null,"●  Approval  for the borrower to furnished materials for  outside"]
[null,"plant construction by contract - Broadband",null,1,5,5,0.25,1.25]
[{"$nulls":5}," ",null," "]
[1753.58,"Telephone Force Account Construction - Final Inventory"]
[null,"   Closeout of major outside plant construction by force account",817,2,2.22,4.44,2,8.88]
[null,null,"817a",2,2.22,4.44,2,8.88]
[null,null,"817b",2,2.22,4.44,2,8.88]
[]
[1753.15,"Preloan Engineering Service Contract, Telephone ",null,null,null," ",null," "]
[" (a)(2)","System Design",835,0,0,0,0.75,0]
[{"$nulls":5}," ",null," "]
["1753.80 (g)","Minor construction - request to establish a work order fund",null,null,null," ",null," "]
[null,"for specific construction project","n/a",0,0,0,2,0]
[null,"Minor construction - request to establish a work order fund"]
[null,"for specific construction project - Broadband","n/a",0,0,0,2,0]
[{"$nulls":5}," ",null," "]
[1753.27,"Construction of building - award of contract",null,null,null," ",null," "]
[null,null,"n/a",0,1,0,2,0]
["1753.48 (a)","Outside plant major construction - award of construction in ",null,null,null," ",null," "]
[null,"accordance with procedures","n/a",60,3.8,228,1.5,342]
[]
["1753.48 (b)","Outside plant major construction - RUS approval of negotiated ","n/a",9,1,9,1.5,13.5]
[null,"proposals"]
[]
["1753.68 (b)","Special  equipment  - approval of the ",null,null,null," ",null," "]
[null,"proposal for initial purchase of equipment","n/a",0,0,0,1.5,0]
[null,"Core network and access equipment  - approval of the "]
[null,"proposal for initial purchase of equipment - Broadband","n/a",0,0,0,1.5,0]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$nulls":5},"ANNUAL  BURDEN"]
[null,null,"FORM",null,null,"REPORTS"]
[null,null,"NO(s)","NO.  OF","NO.  OF","TOTAL","HOURS","TOTAL"]
["SECTION  OF",null,"(If  \"none\"","RESPON-","RESPONSES","ANNUAL","PER","HOURS"]
["REGULATIONS","DESCRIPTION","so  state)","DENTS","PER","RESPONSES","RESPONSE","(Col.  f  &  g)"]
[{"$nulls":4},"RESPON-","(Col.  d  &  e)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[1753.36,"Core network and access equipment - request for approval",null,null,null," ",null," "]
[null,"to negotiate for the purpose of standardization on a ","n/a",0,1,0,1.25,0]
[null,"system basis",null,null,null," ",null," "]
[null,"Core network and access equipment - request for approval"]
[null,"to negotiate for the purpose of standardization on a "]
[null,"system basis - Broadband","n/a",0,1,0,1.5,0]
[{"$nulls":5}," ",null," "]
[1753.3,"During the preconstruction review, obtain approval for any"]
[null,"construction that does not conform to RUS standards and ","n/a",0,0,0,1.5,0]
[null,"specifications or the approved Loan Design",null,null,null," ",null," "]
[{"$nulls":5}," ",null," "]
[1753.6,"Approval to use other than new or nonstandard materials",null,null,null," ",null," "]
[null,"and equipment","n/a",0,0,0,1.5,0]
[null,"Approval to use other than new or nonstandard materials",null,null,null," ",null," "]
[null,"and equipment - Broadband","n/a",0,0,0,1,0]
[null," ",{"$nulls":5}," "]
["Total burden hours for forms approved under OMB Docket 0572-0059 ",null,null,1432,2.317458100558659,3318.5999999999995,1.9917600795516177,6609.854999999998]
[]
[]
[null,"FORMS APPROVED UNDER OTHER OMB DOCKETS",null," "]
[null,null,null,"Forms approved under OMB Docket No. 0572-0107"]
["1753, 1788","Contractor's Bond","168b",60,2.06,123.60000000000001,0.016,1.9776000000000002]
["1753, 1788","Contractor's Bond (less than $1 million)","168c",0,1,0,0.016,0]
["1753.30","Certificate of Completion - Contract Construction for Building",181,1,1,1,0.1,0.1]
[null,"Closeout of Contract Form 257 for Building Construction."]
[]
[1753,"Certificate (\"Buy American\")",213,0,0,0,0.016,0]
[" "," ",null,null,null," ",null," "]
[1753,"Equipment Contract  ",395,74,2,148,1.5,418.5," "," "," "," "," "," "," "," "," "," "," "," "," "," "]
["Subpart E, H"]
[]
["1753.37, 38,","Certificate of Completion, Equipment Contract ","395a",98,1.29,126.42,0.5,63.21]
["39, 68","(Including Installation)"]
[]
["1753.37, 38,","Certificate of Completion, Equipment Contract ","395b",49,1.29,63.21,0.5,31.605]
["39, 68","(Not Including Installation)"]
[]
["1753.37, 38,","Certificate of Contractor and Indemnity Agreement ","395c",98,1.29,126.42,0.5,63.21]
["39, 68","(Use only for installation contracts)"]
[]
["1753.37, 38,","Report in writing, including all measurements, any ","395d",98,1.29,126.42,0.75,94.815]
["39, 68","acceptance test report and other information required under "]
[null," Part II of applicable specifications"]
[]
["1753.30,","Waiver and Release of Lien",224,60,1.95,117,0.016,1.872]
["39, 49","●  Closeout of Contract Form 257 for building construction",null,null," ",null," "," "]
[null,"●  Closeout of major outside plant contraction by contract",null,null," "," "," "," "]
[]
["1753.30,","Certificate of Contractor",231,1,1,1,0.016,0.016]
["39, 49",{"$nulls":6}," "]
["1753.11,","Construction or Equipment Contract Amendment",238,34,1.83,62.22,0.016,0.99552]
["28, 38, 68",{"$nulls":6}," "]
[1753,"Contract to Construct Building",257,1,1,1,0.083,0.083]
["Subpart D"]
[null,"Bid Bond",307,70,2.06,144.20000000000002,0.016,2.3072000000000004]
[]
[null,null,null,"Form approved under OMB Docket No. 0572-0023"]
[1744.66,"Financial Requirements Statement",481,211,2.22,468.42,2,936.84]
[]
[null,null,null,"Form approved under OMB Docket No. 0572-0074"]
[1744.66,"Certification of Authority",675,25,2.16,54,0.1,5.4]
[]
[null,null,null,"Form approved under OMB Docket No. 0572-0118"]
["Subpart B","Architectural Services Contract",220,2,1,2,1,2]
[]
["Total burden hours for forms approved under other OMB Dockets",null,null,572,2.7358566433566436,1564.91,1.0370764580710712,1622.9313200000001]

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