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Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Rural Broadband Access Loan & Loan Guarantee Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 1738
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
532
Rural Broadband Access Loan and Loan Guarantee Application
broadband-application532-2.doc
http://www.rurdev.usda.gov/utp_farmbill.html
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5
Number of Respondents for Small Entity:
5
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
23
0
-95
0
0
118
Annual IC Time Burden (Hours)
2,095
0
-8,450
0
0
10,545
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Application Guide
Broadband Application Guide 11 16 10.docx
12/17/2010
Schedule C-1
Schedule C-1 - Legal Opinion.docm
12/17/2010
Schedule C-2
Schedule C-2 - Real Property Schedule.docm
12/17/2010
Schedule F-2
Schedule F-2 - Service Area Demographic Data.docm
12/17/2010
Schedule H-1
Schedule H-1 - Equal Opportunity and Non Discrimination.docm
12/17/2010
Schedule H-2
Schedule H-2 - Certification Regarding Architectural Barriers.docm
12/17/2010
Schedule H-3
Schedule H-3 - Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970.docm
12/17/2010
Schedule H-4
Schedule H-4 - Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions.docm
12/17/2010
Schedule H-5
Schedule H-5 - Certification Regarding Lobbying for Contracts, Grants, Loans, and Cooperative Agreements.docm
12/17/2010
Schedule H-6
Schedule H-6 - Certifcate Regarding Flood Hazard Area Precautions.docm
12/17/2010
Schedule I
Schedule I - Outstanding Federal Debt.docm
12/17/2010
Schedule J-1
Schedule J-1 - Investor Proposal.docm
12/17/2010
Schedule J-2
Schedule J-2 - Equity State or Local Govt Bond.docm
12/17/2010
Schedule L-1
Schedule L-1 - Competitive Analysis.docm
12/17/2010
Schedule M-2
Schedule M-2 - Schedule of Debt and Equity Funding.xls
12/17/2010
Schedule M-3
Schedule M-3 - Subscriber Projections and Service Tiers3.xls
12/17/2010
Schedule M-4A
Schedule M-4A - Pro Forma 5-Year Financial Forecast.xls
12/17/2010
Schedule M-5
Schedule M-5 - Additional Cash.pdf
12/17/2010
Schedule M-6
Schedule M-6 - Depreciation Schedule.xls
12/17/2010
Schedule N-2
Schedule N-2 - Service Metrics and Network Management.doc
12/17/2010
Schedule N-3
Schedule N-3 Network Design Certification.doc
12/17/2010
Schedule P
Schedule P- Project Capital Investment Workbook.xls
12/17/2010
Schedule R
Schedule R- Licenses and Agreements.xls
12/17/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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