| OMB No. 0572-0153 - Special Servicing of Telecommunications Programs Loans for Financially Distressed Borrowers |
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| USDA Rural Utilities Service |
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| Section of Rule |
Title |
Form No. (if any) |
No. of Respondents |
Reports Filed |
Total Responses (D) x (E) |
Estimated No. of Manhours per response |
Estimated Total Manhours (F) x (G) |
Wage Class |
Total Cost (H) x (I) |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
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Reporting Requirements – No Forms |
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*We anticipate 5 borrowers will request servicing actions. Of those 5 borrowers, we anticipate 3 will require advanced servicing actions |
| 1752.6(a)(1) |
Servicing Action Request Narrative |
Written |
5 |
1 |
5 |
4 |
20 |
76.44 |
$1,529 |
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| 1752.6(a)(2) |
Borrower Financial Statements |
Written |
5 |
1 |
5 |
1.00 |
5 |
76.44 |
$382 |
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May 2022 National Occupational Employment and Wage Estimates (bls.gov) |
| 1752.6(a)(3) |
Pro Forma 5-year Financial Forecast |
Written |
5 |
1 |
5 |
60.00 |
300 |
76.44 |
$22,931 |
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Employer Costs for Employee Compensation – June 2023 (bls.gov) |
| 1752.6(a)(3) |
Adjustments to Pro-Forma Forecast |
Written |
5 |
3 |
15 |
7.00 |
105 |
76.44 |
$8,026 |
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| 1752.6(a)(4) |
Existing and Projected Subscriber Numbers |
Written |
5 |
1 |
5 |
2.63 |
13.125 |
76.44 |
$1,003 |
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| 1752.6(a)(5) |
Current Organizational Charts |
Written |
5 |
1 |
5 |
0.63 |
3.125 |
76.44 |
$239 |
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| 1752.6(a)(5) |
Information Relating Ownership Interest of Borrower and Related or Affiliated Entities |
Written |
5 |
1 |
5 |
0.63 |
3.125 |
76.44 |
$239 |
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| 1752.6(a)(6) |
List of Collateral |
Written |
5 |
1 |
5 |
2.13 |
10.625 |
76.44 |
$812 |
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| 1752.6(b)(1) |
Appraisal |
Written |
3 |
1 |
3 |
2.50 |
7.5 |
76.44 |
$573 |
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| 1752.6(b)(2) |
Itemized List of Liquidation Expenses |
Written |
3 |
1 |
3 |
1.00 |
3 |
76.44 |
$229 |
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| 1752.6(b)(2) |
Legal Opinion on RUS Interests in the Collateral |
Written |
3 |
1 |
3 |
3.00 |
9 |
101.89 |
$917 |
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| 1752.6(b)(2) |
Supporting Evidence of UCC Filings |
Written |
3 |
1 |
3 |
1.50 |
4.5 |
76.44 |
$344 |
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| 1752.6(b)(4) |
Schedule of Non-RUS Debt |
Written |
3 |
1 |
3 |
4.00 |
12 |
76.44 |
$917 |
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| 1752.6(b)(4) |
Trial Balance of Borrower |
Written |
3 |
1 |
3 |
3.00 |
9 |
76.44 |
$688 |
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| 1752.6(b)(4) |
Schedule of Accounts Payable by Aging |
Written |
3 |
1 |
3 |
3.00 |
9 |
76.44 |
$688 |
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| 1752.6(b)(4) |
Schedule of Accounts Receeivable by Aging |
Written |
3 |
1 |
3 |
3.00 |
9 |
76.44 |
$688 |
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| 1752.6(b)(4) |
Fixed Asset Detail List |
Written |
3 |
1 |
3 |
3.00 |
9 |
76.44 |
$688 |
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| 1752.6(b)(4) |
Inventory Account Detail |
Written |
3 |
1 |
3 |
3.00 |
9 |
76.44 |
$688 |
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| 1752.6(b)(4) |
Current Year Capital and Operating Budget |
Written |
3 |
1 |
3 |
2.00 |
6 |
76.44 |
$459 |
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| 1752.6(b)(4) |
Copies of All Licenses, Leases, Contracts, and Agreements |
Written |
3 |
1 |
3 |
4.00 |
12 |
76.44 |
$917 |
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| 1752.6(b)(4) |
Reimbursement Schedule for Pledged Deposit Account |
Written |
3 |
1 |
3 |
3.00 |
9 |
76.44 |
$688 |
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| 1752.6(c)(3) |
Additional Reporting and Monitoring Documentation |
Written |
3 |
12 |
36 |
1.13 |
40.5 |
76.44 |
$3,096 |
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| 1752.6(c)(4) |
Additional Controls and Limitations Documentation |
Written |
3 |
1 |
3 |
2.00 |
6 |
76.44 |
$459 |
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| 1752.11 |
3rd Party Loan Documents |
Written |
1 |
1 |
1 |
2.00 |
2 |
76.44 |
$153 |
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| 1752.16 |
3rd Party Agreements |
Written |
1 |
1 |
1 |
3.00 |
3 |
76.44 |
$229 |
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| 1752.14 |
Legal Opinion and Board Resolutions Regarding RUS Deferral Agreement |
Written |
5 |
1 |
5 |
10.00 |
50 |
101.89 |
$5,094 |
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| 1752.6(b)(4) |
Asset Valuation |
Written |
1 |
1 |
1 |
15.00 |
15 |
76.44 |
$1,147 |
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| 1752.6(b)(4) |
Corrected Management Plan |
Written |
1 |
1 |
1 |
10.00 |
10 |
76.44 |
$764 |
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137 |
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695 |
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$54,587 |
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Total Estimated Annual Responses |
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137 |
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Total Estimated Annual Burden Hours |
695 |
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Total Annual Burden Cost |
$54,587 |
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Total Estimated Burden Hours per Response |
5.069 |
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