Certification of Authority, RUS Form 675

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form RUS Form 675 Certificate of Authority	Form	Modified	Available
30 day FRN 0572-0074.pdf	Supplementary Document	Uploaded 2019-10-01	Available
018 FINAL Spreadsheet 0572-0074 ocio edits.xls	Supplementary Document	Uploaded 2019-02-12	Available
ICP 0572-0074 published 9-6-18 correction.docx	Supplementary Document	Uploaded 2019-02-06	Available
2019 0572-0074 SS.doc	Supporting Statement A	Uploaded 2019-02-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43525	Certification of Authority, RUS Form 675	Form	Modified	Certificate of Authority

ICR Details

OMB Control No: 0572-0074	ICR Reference No: 201901-0572-007
Status: Active	Previous ICR Reference No: 201506-0572-001
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: Certification of Authority, RUS Form 675
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/04/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/21/2019
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2022	36 Months From Approved	11/30/2019
Responses	163	0	250
Time Burden (Hours)	16	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:
	83 FR 45209	09/06/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 5404	02/21/2019
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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

---

ICR Summary of Burden

table that charts list 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	163	250	0	-87	0	0
Annual Time Burden (Hours)	16	25	0	-9	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease in the estimated forecasted number of responses/respondents from 250 per year to 163 per year is representative of the actual number and trend of form submissions over the period since the last Supporting Statement.

---

Annual Cost to Federal Government: $543

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.     No

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: 02/21/2019

---