RUS Form 87, Request for Mail List Data

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 87 Request for Mail List Data - RUS Form 87	Form	Modified	Available
Form 87 RUS Form 87, Request for Mail List Data	Form	Modified	Repair queued
OMB-83-I - 2020 -.pdf	Supplementary Document	Uploaded 2020-05-27	Available
OMB-83-I - 2020 -.pdf	Supplementary Document	Uploaded 2020-05-27	Repair queued
Form87_Suppt.Stmnt._Electric Updated_01-24-2020 -FINAL.pdf	Supporting Statement A	Uploaded 2020-01-24	Available
Form87_Suppt.Stmnt._Electric Updated_01-24-2020 -FINAL.pdf	Supporting Statement A	Uploaded 2020-01-24	Missing upstream
2019 -Word Version 60 -Day FR Notice.docx	Supplementary Document	Uploaded 2020-01-24	Available
2019 -Word Version 60 -Day FR Notice.docx	Supplementary Document	Uploaded 2020-01-24	Repair queued
Published 60-day FR Notice 0572-0051.pdf	Supplementary Document	Uploaded 2020-01-24	Available
Published 60-day FR Notice 0572-0051.pdf	Supplementary Document	Uploaded 2020-01-24	Repair queued
2020 Burden Spreadsheet 0572-0051_01-24-2020 - FINAL.xls	Supplementary Document	Uploaded 2020-01-24	Available
2020 Burden Spreadsheet 0572-0051_01-24-2020 - FINAL.xls	Supplementary Document	Uploaded 2020-01-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1784	RUS Form 87, Request for Mail List Data	Form	Modified	Request for Mail List Data - RUS Form 87
1784	RUS Form 87, Request for Mail List Data	Form	Modified

ICR Details

OMB Control No: 0572-0051	ICR Reference No: 201911-0572-001
Status: Active	Previous ICR Reference No: 201705-0572-002
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: RUS Form 87, Request for Mail List Data
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: 12/03/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/18/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2024	36 Months From Approved	12/31/2021
Responses	985	0	980
Time Burden (Hours)	246	0	245
Cost Burden (Dollars)	0	0	0

---

Abstract: The RUS Form 87, Request for Mail List Data, is used to obtain the names and addresses of RUS Electric and Telecommunications borrowers' officer/board of directors and corporate officials who are authorized to sign official documents, make official representations concerning borrowers operations and management, etc.

---

Authorizing Statute(s): PL: Pub.L. 103 - 345 2(a) and 2(b) 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:
	84 FR 67254	12/09/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 49616	08/14/2020
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
RUS Form 87, Request for Mail List Data	87	Request for Mail List Data - RUS Form 87

---

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	985	980	0	0	5	0
Annual Time Burden (Hours)	246	245	0	0	1	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: During the last collection period, the number of RUS Electric and Telecommunication program borrowers increased by 5 from 980 to 985 respondents. This change increased responses by 5 from 980 to 985 and the estimated hour burden was increased by 1hour. The increase is a result of the Electric program adding 5 new borrowers to the program.

---

Annual Cost to Federal Government: $7,710

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? No

---

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: 08/18/2020

---