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Certification of Authority, RUS Form 675
Certification of Authority, RUS Form 675
OMB: 0572-0074
IC ID: 43525
OMB.report
USDA/RUS
OMB 0572-0074
ICR 201209-0572-006
IC 43525
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0074 can be found here:
2022-11-03 - Revision of a currently approved collection
2019-02-21 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form RUS Form 675
Certification of Authority, RUS Form 675
Form
RUS Form 675 Certification of Authority
2012rus0675.pdf
forms.sc.egov.usda.gov/efcommon/eFileServices/Forms/rus0675.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Certification of Authority, RUS Form 675
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
RUS Form 675
Certification of Authority
2012rus0675.pdf
http://forms.sc.egov.usda.gov/efcommon/eFileServices/Forms/rus0675.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
250
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
250
0
0
0
0
250
Annual IC Time Burden (Hours)
25
0
0
0
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.