Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Telecommunications System Construction Policies and Procedures Modified 5382 10720 0 Form 157 Construction Work Plan & Cost Distribution
Form 158 Certification of Contractor or Force Account Proposal Approval
Form 159 Summary of Completed Construction
Form 179 Architects and Engineers Qualifications
Form 216 Construction and Change Order
Form 217 Postloan Engineering Services Contract-Telecommunications Systems
Form 242 Assignment of Engineering Service Contract
Form 245 Engineering Service Contract, Special Services-Telephone
Form 270 Equal Opportunity Addendum
Form 274 Bidder's Qualifications
Form 276 Bidder's Qualifications for Buried Plant Construction
Form 281 Tabulation of Materials Furnished by Borrower
Form 282 Subcontracts-(Under Construction or Equipment Contracts
Form 284 Certificate of Architect
Form 375 Interim Financing Construction
Form 390 Software License Agreement
Form 396 Certificate of Completion, Special Equipment Contract (indlucding installation)
Form 396a Certificate of Completion, Special Equipment Contract (Not including installation)
Form 397 with b-h Special Equipment Contract (including installation)
Form 398 Special Equipment Contract (not including installation)
Form 506 Statement of Engineering Fees- Telecommunications
Form 515 Telephone System Construction Contract(Labor & Materials)
Form 517 Results of Acceptance Tests
Form 521 BiWeekly Progress Report of Telephone Construciton & Engineering Services
Form 525 Central Office Equipment Contract (Including installation)
Form 527 Statement of Construction Telephone System-Outside Plant
Form 545 Central Office Equipment Contract (not including installation)
Form 724 FInal Inventroy, Telephone Construction Contract (Labor& Materials)
Form 724a Final Inventory, Telephone Construction Cpmtract (Labor & Material)
Form 724b Final Inventory, Telephone Construction Contract (Labor & Material)
Form 743 Certificate of Ocntractor & Indemnity Agreement (Line Extensions)
Form 744 Certificate of Contractor and Indemnity Agreement
Form 752a Certificate of Completion Central Office equipment Contract (not including installation)
Form 756 Contract Closeout Certification
Form 771 Summary of Work orders (Inspection by Agency Field Engineer)
Form 787 Supplement A to Construction Contract RUS Form 515
Form 817 Final Inventory, Telephone Force Account Construction
Form 817a Final Inventory, Telephone Force Account Construction
Form 817b Final Inventory, Telephone Force Account Construction
Form 835 Preloan Engineering Service Contract, Telephone System Design
Form 771a Summary of Work Orders
Form Form 773 Miscellaneous Construction Work and Maintenance Services Contract
Total burden requested under this ICR: 5382 10720 0  
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