Information Collection

Authorization Payments - Tribal

IC 184183 under ICR 201408-0575-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 - Tribal	Form
RD 3550-28 Authorization Agreement for Preauthorization Payments RD 3550-28.doc	Form
RD 1951-65 Customer Initiated Payments (CIP) RD 1951-65.pdf	Form
RD 1951-66 Fedwire Worksheet RD 1951-66.pdf	Form

IC Title:

Authorization Payments - Tribal

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	RD 3550-28.doc	Yes	No	Printable Only
Form	RD 1951-65	Customer Initiated Payments (CIP)	RD 1951-65.pdf	Yes	Yes	Fillable Printable
Form	RD 1951-66	Fedwire Worksheet	RD 1951-66.pdf	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 632

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	674	175	499
Annual IC Time Burden (Hours)	327	98	229
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.