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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},2017]
[" 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",157,0,0,32,12,384," "," "," "]
["Subpart J"]
[]
[1753,"Certification of Contractor or Force Account Proposal ",158,1,12,12,3,36," "," "," "]
["Subpart J","Approval"]
[]
[1753,"Summary of Completed Construction",159,0,0,0,6,0]
["Subpart J"]
[]
[1753,"Certification Borrower Contract Addendum ","N/A",0,0,0,1,0]
["Subpart J"]
[]
[]
[]
[]
[null,"Architects and Engineers Qualifications",179,14,1,14,2,28]
[]
[{"$nulls":5}," ",null," "]
["1753.48(g)","Construction Change Order",216,30,1,30,1,30]
[null,"●  When changes or correction are necessary the borrower's ",null,null,null," ",null," "]
[null,"engineer will prepare a construction change order.  A copy ",null,null,null," ",null," "]
[null,"of each is attached to the construction inventory required",null,null,null," ",null," "]
[null,"to close out the contract",null,null,null," ",null," "]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$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"]
[{"$nulls":5}," ",null," "]
[1753,"Postloan Engineering Service Contract",217]
["Subpart B","●  Approval of Postloan Engineering Service Contract ",null,13,1,13,7,91]
[null,"●  Approval of Postloan Engineering… - Broadband Program",null,1,1,1,7,7]
[null,"The Postloan Engr. Serv. Contract inclds. using the following forms:"]
[null,"RUS Form 217a-Project Design, Assistance and Coordination:  "]
[null,"RUS Form 217b-Central Office Equipment Engineering Services;"]
[null,"RUS Form 217c-Transmission Facilities Engineering Services;"]
[null,"RUS Form 217d-Building Engineering Services;"]
[null,"RUS Form 217e-Outside Plant Staking Services;"]
[null,"RUS Form 217f-Outside Plant Contract Doc. Phase Engr. Servs."]
[null,"RUS Form 217g-Outside Plant Construction Phase Engr. Servs."]
[]
[]
[]
[null,"Miscellaneous Engineering Services Forms"]
[]
[null,"Assignment of Engineering Service Contract",242,0,0,0,0.5,0]
[]
["1753.15,","Engineering Service Contract - Special Services - Telephone",245,1,1,1,0.75,0.75]
[81,"●  Engineering services for minor construction may be "]
[null,"contracted using Form 245 (This contract form does not ",null,null,null," "," "," "]
[null,"require RUS approval).",null,null,null," ",null," "]
[]
[]
[]
["RE Act","Equal Opportunity Addendum",270]
["NAFTA","●  Form 773 issued for minor construction by contract.",null,54,2.22,119.88000000000001,0.25,29.970000000000002]
[null,"●  Form 773, small scale constuction - Broadband Program",null,3,3.33,9.99,0.25,2.4975]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$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 ",274,62,3.8,235.6,1,235.6]
[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,57,3.8,216.6,1,216.6]
[{"$nulls":5}," ",null," "]
[175349,"Tabulation of Materials Furnished by Borrower",null,null,null," ",null," "]
[null,"●  Closeout of major outside plans construction by contract.",281," "," "," ",null," "]
[null,null,null,26,3.84,99.84,2,199.68]
["1753.8(b)","Subcontracts (Under Construction or Equipment)",null,null,null," ",null," "]
[null,"●  Approval of subcontracts (per 1753.8(b))",282,57,2.28,129.95999999999998,0.75,97.46999999999998]
[]
[1753.16,"Certificate of Architect",null,null,null," ",null," "]
[null,"●  Approval of final statement of cost-architectural services",284,0,0,0,0.5,0]
[null,"●  Approval of final statement… - Broadband Program",284,1,1,1,0.5,0.5]
[]
[]
[1737,"Interim Financing Construction",375,null,null," "," "," "]
["Subpart E","Telecommunications Program",null,57,11.42,650.9399999999999,0.25,162.73499999999999]
[null,"Broadband Program",null,0,0,0,0.25,0]
[]
["1753.38","Software License Agreement",390,null,null," ",null," "]
[null,"Telecommunications Program",null,34,1.6,54.400000000000006,1,54.400000000000006]
[null,"Broadband Program",null,15,5.4,81,1,81]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$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 ",506,13,1,13,6,78]
[null,"●  Estimates - Broadband Program",null,1,1,1,6,6]
[1753.17,"●  Final",null,20,1.8,36,6,216]
[null,"●  Final - Broadband Program",null,1,2,2,6,12]
[]
["         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)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[null,"Major Outside Plant Construction"]
[null,null,null," "," "," "," "," "]
[null,"Telephone System Construction Contract (Labor and Materials)"]
[1753.47,"●  Approval of plans and specifications for major outside",515,null,null," ",null," "]
[null,"plant construction by contract",null,57,3.8,216.6,4,866.4]
[1753.48,"●  Approval of the outside plant contract",null,57,3.8,216.6,6,1299.6]
[null,"●  Approval of plans and specifications for major outside",null," "," "]
[null,"plant construction by contract - Broadband Program",null,5,1.4,7,8,56]
[null,"●  Approval of the outside plant contract - Broadband",null,5,1.4,7,4,28]
[1753.48,"●  Owner-Furnished Materials"," ","Information included under RUS Form 787 below."]
[1753.48,"●  Approval of negotiated contracts",null,3,1,3,2,6]
[null,"●  Approval of negotiated contracts - Broadband",null,1,1,1,4,4]
[null,"●  Owner-Furnished Materials - Broadband"," ","Information included under RUS Form 787 below."]
[]
[]
[1753.39,"Results of Acceptance Test",517,57,2.02,115.14,1,115.14]
[]
["1753.57","Biweekly Progress Report of Telephone Construction"]
[null,"and Engineering Service",521,85,26,2210,1,2210]
[]
[]
[]
[]
[1753,"Statement of Construction Telephone System - Outside Plant"]
["Subpart E","●  Closeout of major outside plant construction by contract",527,57,2.02,115.14,1.25,143.925]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$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)",724,57,2.02,115.14,0.75,86.355]
[null,"●  Closeout of major outside plant construction by contract",null,null,null," ",null," "]
[{"$nulls":5}," ",null," "]
[1753.49,"Final Inventory, Telephone Construction Contract",null,null,null," ",null," "]
[null,"(Labor and Materials) - Detailed","724a",57,2.02,115.14,3,345.42]
[null,"●  Tabulation of Assembly Units",null,null,null," ",null," "]
[]
[1753.49,"Final Inventory, Telephone Construction Contract",null,null,null," ",null," "]
[null,"(Labor and Materials) - Detailed","724b",57,2.02,115.14,0.75,86.355]
[null,"●  Removals",null,null,null," ",null," "]
[{"$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,54,2.22,119.88000000000001,0.5,59.940000000000005]
[null,"●  Upon completion and inspection the borrower obtains "]
[null,"from the contractor a final invoice and Form 743 - Broadband",null,3,2.33,6.99,0.5,3.495]
[]
[{"$nulls":5}," ",null," "]
[]
["         IDENTIFICATION  OF  REPORTING  AND  RECORDKEEPING  REQUIREMENTS",{"$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",54,2.02,109.08,0.5,54.54]
[null,"● Broadband Program",756,3,1.6,4.800000000000001,0.5,2.4000000000000004]
[]
["1753.81-82","Summary of Work Order",null,null,null," ",null," "]
[null,"Inspection by GFR",771,57,2.23,127.11,0.5,63.555]
[null,"Inspection by licensed Engineer or Borrower's Staff Engineer","771a",54,2.22,119.88000000000001,0.5,59.940000000000005]
[null,"Broadband Program","771a",3,2.33,6.99,0.5,3.495]
[]
[1753,"Miscellaneous Construction Work and Maintenance",null,null,null," ",null," "]
[null,"Service Contract",773]
[null,"●  Issued for minor construction by contract",null,54,2.22,119.88000000000001,2,239.76000000000002]
[null,"●  Issued for  small-scale construction -Broadband Program",null,3,2.33,6.99,3,20.97]
[{"$nulls":5}," ",null," "]
["1753.48 (f)","Supplement A to Construction Contract RUS Form 515",787,null,null," ",null," "]
[null,"●  Approval  for the borrower to furnished materials for  outside",null,null,null," ",null," "]
[null,"plant construction by contract",null,26,3.85,100.10000000000001,0.25,25.025000000000002]
[null,"●  Approval  for the borrower to furnished materials for  outside"]
[null,"plant construction by contract - Broadband",null,1,5,5,0.25,1.25]
[{"$nulls":5}," ",null," "]
[1753.58,"Telephone Force Account Construction - Final Inventory"]
[null,"   Closeout of major outside plant construction by force account",817,54,2.22,119.88000000000001,2,239.76000000000002]
[null,null,"817a",54,2.22,119.88000000000001,2,239.76000000000002]
[null,null,"817b",54,2.22,119.88000000000001,2,239.76000000000002]
[]
[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",1,1,1,2,2]
["1753.48 (a)","Outside plant major construction - award of construction in ",null,null,null," ",null," "]
[null,"accordance with procedures","n/a",57,3.8,216.6,1.5,324.9]
[]
["1753.48 (b)","Outside plant major construction - RUS approval of negotiated ","n/a",4,1,4,1.5,6]
[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)"]
[{"$nulls":4},"DENT"]
["(a)","(b)","(c)","(d)","(e)","(f)","(g)","(h)"]
[]
[1753.36,"Core network and access equipment - request for approval",null,null,null," ",null," "]
[null,"to negotiate for the purpose of standardization on a ","n/a",1,1,1,1.25,1.25]
[null,"system basis",null,null,null," ",null," "]
[null,"Core network and access equipment - request for approval"]
[null,"to negotiate for the purpose of standardization on a "]
[null,"system basis - Broadband","n/a",2,1,2,1.5,3]
[{"$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,110,57.29136363636365,6302.050000000001,1.3975131108131476,8807.197499999998]
[]
[]
[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 $1 million)","168c",0,1,0,0.016,0]
["1753.30","Certificate of Completion - Contract Construction for Building",181,4,1,4,0.1,0.4]
[null,"Closeout of Contract Form 257 for Building Construction."]
[]
[1753,"Certificate (\"Buy American\")",213,0,0,0,0.016,0]
[" "," ",null,null,null," ",null," "]
[1753,"Equipment Contract  ",395,37,1.76,65.12,1.5,418.5," "," "," "," "," "," "," "," "," "," "," "," "," "," "]
["Subpart E, H"]
[]
["1753.37, 38,","Certificate of Completion, Equipment Contract ","395a",42,1.29,54.18,0.5,27.09]
["39, 68","(Including Installation)"]
[]
["1753.37, 38,","Certificate of Completion, Equipment Contract ","395b",20,1.29,25.8,0.5,12.9]
["39, 68","(Not Including Installation)"]
[]
["1753.37, 38,","Certificate of Contractor and Indemnity Agreement ","395c",42,1.29,54.18,0.5,27.09]
["39, 68","(Use only for installation contracts)"]
[]
["1753.37, 38,","Report in writing, including all measurements, any ","395d",60,1.29,77.4,0.75,58.050000000000004]
["39, 68","acceptance test report and other information required under "]
[null," Part II of applicable specifications"]
[]
["1753.30,","Waiver and Release of Lien",224,60,1.95,117,0.016,1.872]
["39, 49","●  Closeout of Contract Form 257 for building construction",null,null," "," "," "," "]
[null,"●  Closeout of major outside plant contraction by contract",null,null," "," "," "," "]
[]
["1753.30,","Certificate of Contractor",231,3,1,3,0.016,0.048]
["39, 49",{"$nulls":4}," ",null," "]
["1753.11,","Construction or Equipment Contract Amendment",238,64,1.83,117.12,0.016,1.87392]
["28, 38, 68",{"$nulls":4}," ",null," "]
[1753,"Contract to Construct Building",257,1,1,1,0.083,0.083]
["Subpart D"]
[null,"Bid Bond",307,60,2.06,123.60000000000001,0.016,1.9776000000000002]
[]
[null,null,null,"Form approved under OMB Docket No. 0572-0023"]
[1744.66,"Financial Requirements Statement",481,114,2.22,253.08,2,506.16]
[]
[null,null,null,"Form approved under OMB Docket No. 0572-0074"]
[1744.66,"Certification of Authority",675,32,2.16,69.12,0.1,6.912000000000001]
[]
[null,null,null,"Form approved under OMB Docket No. 0572-0118"]
["Subpart B","Architectural Services Contract",220,3,1,3,1,3]
[]
["Total burden hours for forms approved under other OMB Dockets",null,null,513,2.1270955165692014,1091.2000000000003,0.9786786290322578,1067.93412]

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