Information Collection

Certification of Authority, RUS Form 675

IC 43525 under ICR 202207-0572-002 · OMB 0572-0074.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 675 Certification of Authority, RUS Form 675	Form
Form 675 Certification of Authority Form 675 1-19-22.pdf	Form

IC Title:

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	Form 675	Certification of Authority	Form 675 1-19-22.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title: USDA/Rural Development-1 Applicant, Borrower, Grantee or Tenant File

FR Citation: 84 FR 21315

Number of Respondents: 176

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 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	176	13	163
Annual IC Time Burden (Hours)	18	2	16
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.