Facsimile Signature Authorization and Verification

ICR 200010-0560-004

OMB: 0560-0203

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
1509 Migrated
ICR Details
0560-0203 200010-0560-004
Historical Active 200004-0560-002
USDA/FSA
Facsimile Signature Authorization and Verification
Revision of a currently approved collection   No
Regular
Approved without change 02/01/2001
Retrieve Notice of Action (NOA) 10/30/2000
  Inventory as of this Action Requested Previously Approved
02/29/2004 02/29/2004 01/31/2001
866,089 0 866,089
17,322 0 14,429
0 0 0

USDA Service Center customers provide an original signature on a FSA-237 that is used to verify the authencity of signatures on documents provided via telefacsimile machines

None
None


No

1
IC Title Form No. Form Name
Facsimile Signature Authorization and Verification FSA-237

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 866,089 866,089 0 0 0 0
Annual Time Burden (Hours) 17,322 14,429 0 0 2,893 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/30/2000


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