Certification of Authority, RUS Form 675

Forms and Documents

Document Name	Status
Form RUS Form 675 Certification of Authority, RUS Form 675 Form	Modified
0572-0074 2012 SUPPORTING STMT.doc Supporting Statement A	2012-10-19
FR 60 day notice 0074 7-11-12.pdf Supplementary Document	2012-09-26
Form 36-0074.xls Supplementary Document	2012-09-26
a127_attachment.pdf Supplementary Document	2009-06-08
Circular A123.doc Supplementary Document	2009-06-08
Circular A-129.doc Supplementary Document	2009-06-08

IC Document Collections

IC ID	Document Title	Status
43525	Certification of Authority, RUS Form 675 Form	Modified

ICR Details

OMB Control No: 0572-0074	ICR Reference No: 201209-0572-006
Status: Historical Active	Previous ICR Reference No: 200904-0572-003
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: Certification of Authority, RUS Form 675
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/28/2012
	Date Received in OIRA: 10/19/2012
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for 3 years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved	12/31/2012
Responses	250	0	250
Time Burden (Hours)	25	0	25
Cost Burden (Dollars)	0	0	0

---

Abstract: This form provides RUS names of individuals in cooperatives who are legally authorized by the borrower to sign RUS documents in connection with requisitioning and accounting for construction loan funds.

---

Authorizing Statute(s): US Code: 7 USC 901 et seq. Name of Law: Rural Electrification Act of 1936, as amended
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 40847	07/11/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 64310	10/19/2012
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Certification of Authority, RUS Form 675	RUS Form 675	Certification of Authority

---

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	250	250	0	0	0	0
Annual Time Burden (Hours)	25	25	0	0	0	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:

---

Annual Cost to Federal Government: $561

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

---

Common Form ICR:  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:

(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: 10/19/2012

---