RUS Form 87, Request for Mail List Data

Forms and Documents

Document Name	Status
Form 87 RUS Form 87, Request for Mail List Data Form	Modified
supp stmt 0051(5-11-a).doc Supporting Statement A	2011-07-07
Spreadsheet 0572-0051 3_11.xls Supplementary Document	2011-07-07

IC Document Collections

IC ID	Document Title	Status
1784	RUS Form 87, Request for Mail List Data Form	Modified

ICR Details

OMB Control No: 0572-0051	ICR Reference No: 201105-0572-002
Status: Historical Active	Previous ICR Reference No: 200802-0572-002
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: RUS Form 87, Request for Mail List Data
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/29/2011
	Date Received in OIRA: 07/14/2011
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2011
Responses	1,150	0	1,182
Time Burden (Hours)	288	0	296
Cost Burden (Dollars)	0	0	0

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Abstract: The RUS Form 87, Request for Mail List Data, is used to obtain the names and addresses of the borrower's officer/board of directors and corporate officials who are authorized to sign official documents, make official representations concerning borrowers operations and management, etc.

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Authorizing Statute(s): PL: Pub.L. 103 - 345 2(a) and 2(b) Name of Law: Rural Electrification Act of 1936, as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 13125	03/10/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 41448	07/14/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
RUS Form 87, Request for Mail List Data	87	Request for mail List Data

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ICR Summary of Burden

	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	1,150	1,182	0	0	-32	0
Annual Time Burden (Hours)	288	296	0	0	-8	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are fewer borrowers compared to the last submission. This resulted in a reduction of 8 burden hours.

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Annual Cost to Federal Government: $5,931

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/14/2011

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