Information Collection

RUS Form 87, Request for Mail List Data

IC 1784 under ICR 201911-0572-001 · OMB 0572-0051.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0051 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 87 RUS Form 87, Request for Mail List Data	Form
Form 87 Request for Mail List Data - RUS Form 87 RUS Form 87, Request for Mail List Data	Form
87 Request for Mail List Data - RUS Form 87 RUS87 5-28-14.pdf forms.sc.egov.usda.gov/efcommon/eFileServices/eForms/RUS87.PDF	Form
87 Request for Mail List Data - RUS Form 87 RUS87 5-28-14.pdf forms.sc.egov.usda.gov/efcommon/eFileServices/eForms/RUS87.PDF	Form

IC Title:

RUS Form 87, Request for Mail List Data

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	87			http://forms.sc.egov.usda.gov/efcommon/eFileServices/eForms/RUS87.PDF	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title: RUS Form 87, Request for Mail List Data

FR Citation: 82 FR 1517

Number of Respondents: 985

Number of Respondents for Small Entity: 985

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	985	5	980
Annual IC Time Burden (Hours)	246	1	245
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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