Information Collection

Authorization Payments - Private

IC 2043 under ICR 200803-0575-001 · OMB 0575-0184.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0184 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RD-3550-28 Authorization Payments - Private	Form
RD-3550-28 Authorization Agreement for Preauthorization Payments RD3550-28.pdf	Form
RD-1951-65 Customer Initiated Payments Enrollment Form RD1951-65.pdf	Form
RD-1951-66 Fedwire Worksheet RD1951-66.pdf	Form

IC Title:

Authorization Payments - Private

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD-3550-28	Authorization Agreement for Preauthorization Payments	RD3550-28.pdf	Yes	No	Printable Only
Form	RD-1951-65	Customer Initiated Payments Enrollment Form	RD1951-65.pdf	Yes	Yes	Fillable Printable
Form	RD-1951-66	Fedwire Worksheet	RD1951-66.pdf	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,056

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,056	-15,207	22,263
Annual IC Time Burden (Hours)	3,528	-7,604	11,132
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.