RD 3550-28, "Authorization Agreement for Preauthorization Payments", RD 1951-65, "Customer Initiated Payments (CIP)" and RD 1951-66, "Fedwire Worksheet"

Forms and Documents

Document Name	Status
Form RD-3550-28A Authorization Payments - Private Form	Modified
Form RD 1951-65 Authorization Payments - Tribal Form	Modified
Form RD-3550-28A Authorization Payments - Individuals Form	Modified
2017 Public Use Report 0575-0184 Supporting S.docx Supporting Statement A	2018-03-06
2017 Public Use Report 0575-0184 Spreadsheet.docx Supplementary Document	2017-12-06

IC Document Collections

IC ID	Document Title	Status
2043	Authorization Payments - Private Form	Modified
184183	Authorization Payments - Tribal Form	Modified
184182	Authorization Payments - Individuals Form	Modified

ICR Details

OMB Control No: 0575-0184	ICR Reference No: 201710-0575-004
Status: Active	Previous ICR Reference No: 201408-0575-002
Agency/Subagency: USDA/RHS	Agency Tracking No:
Title: RD 3550-28, "Authorization Agreement for Preauthorization Payments", RD 1951-65, "Customer Initiated Payments (CIP)" and RD 1951-66, "Fedwire Worksheet"
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/06/2018
	Date Received in OIRA: 01/08/2018
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	03/31/2021	36 Months From Approved	03/31/2018
Responses	8,685	0	6,723
Time Burden (Hours)	4,242	0	3,259
Cost Burden (Dollars)	0	0	0

---

Abstract: Forms will be used by the Agency to obtain bank routing information from the borrower's financial institutions to establish an electronic loan payment plan.

---

Authorizing Statute(s): US Code: 15 USC 1601 Name of Law: null
  

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:
	82 FR 42783	09/12/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 58589	12/13/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Authorization Payments - Individuals	RD-3550-28A, RD 1951-66, RD 3550-28, RD 1951-65	Authorization Agreement for Preauthorized Payments ,   Authorization Agreement for Preauthorization Payments ,   Customer Initiated Payments (CIP) ,   Fedwire Worksheet
Authorization Payments - Private	RD-3550-28A, RD-3550-28, RD-1951-65, RD-1951-66	Authorization Agreement for Preauthorized Payments ,   Authorization Agreement for Preauthorization Payments ,   Customer Initiated Payments Enrollment Form ,   Fedwire Worksheet
Authorization Payments - Tribal	RD 3550-28, RD 1951-66, RD 1951-65, RD-28-A	Customer Initiated Payments (CIP) ,   Fedwire Worksheet ,   Authorization Agreement for Preauthorization Payments ,   Authorization Agreement for Preauthorization Payments

---

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	8,685	6,723	0	0	1,962	0
Annual Time Burden (Hours)	4,242	3,259	0	0	983	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: This package reflects a 1,962 increase in responses and a 983 increase in burden hours. This is due to an increase in respondents for the housing program.

---

Annual Cost to Federal Government: $101,870

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 01/08/2018

---