Authorization Payments - Private

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0575-0184 can be found here:

Documents and Forms

Document Name Document Type
Form RD-3550-28A Authorization Payments - Private Form
RD-3550-28 Authorization Agreement for Preauthorization Payments RD 3550-28.doc Form
RD-1951-65 Customer Initiated Payments Enrollment Form RD 1951-65.pdf Form
RD-1951-66 Fedwire Worksheet RD 1951-66.pdf Form
RD-3550-28A Authorization Agreement for Preauthorized Payments RD3550-28A Form.pdf Form

Information Collection (IC) Details

IC Title:	Authorization Payments - Private	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD-3550-28A	Authorization Agreement for Preauthorized Payments	RD3550-28A Form.pdf	Yes	No	Fillable Printable
Form	RD-3550-28	Authorization Agreement for Preauthorization Payments	RD 3550-28.doc	Yes	No	Printable Only
Form	RD-1951-65	Customer Initiated Payments Enrollment Form	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: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,478	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,606	590	2,016
Annual IC Time Burden (Hours)	1,273	296	977
Annual IC Cost Burden (Dollars)	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.