Information Collection

Certification of Authority, RUS Form 675

IC 43525 under ICR 201901-0572-007 · OMB 0572-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RUS Form 675 Certificate of Authority Certification of Authority, RUS Form 675	Form
RUS Form 675 Certificate of Authority RUS Form 675.pdf www.rd.usda.gov/publications/regulations-guidelines/forms-publications	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RUS Form 675			http://www.rd.usda.gov/publications/regulations-guidelines/forms-publications	Yes	No	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 163

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	163	-87	250
Annual IC Time Burden (Hours)	16	-9	25
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.

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