RUS 674 Certificate of Authority to Submit or Grant Access to Da

Operating Reports for Telecommunications and Broadband Borrowers

rus form 674 - updated

OMB: 0572-0031

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Form RUS 674
08-2022

U.S. Department of Agriculture
Rural Development Utilities Programs

Form Approved
OMB No. 0572-0031
Expires: MM/DD/YYYY

CERTIFICATE OF AUTHORITY TO SUBMIT OR GRANT ACCESS TO DATA
INSTRUCTIONS-Submit one copy to the Rural Development Utilities Programs headquarters and one copy to the GFR.

In accordance with the requirements of the Rural Utilities Service, an agency delivering the U.S.
Department of Agriculture Rural Development Utilities Programs, herein after referred to as the Agency,
and by resolution, attached hereto, of the board of directors or other managing body
("the Borrower")

(the "Board" of
BORROWER'S NAME

located at
BORROWER'S ADDRESS

which resolution was adopted by a quorum of the Board, held on

, 20

,

the Board hereby authorizes the officer or manager whose name, title, and USDA eAuthentication ID
appear below (Certifier), to certify and submit the data requested on the following Agency data
collections. Furthermore, said resolution authorizes the following employee whose name, title, and
eAuthentication ID appear below (Security Administrator), to give, as appropriate, other employees,
officers, or contractors access to the Borrower's data on the USDA Rural Development Data Collection
System, subject to the terms of the attached instructions, for the purpose of completing the required data
collection indicated below:
(Check All That Apply)
Form No. (if applicable)
7
12

---

TITLE
Financial and Statistical Report (Electric - Distribution)
Operating Report (Electric - Generation)
Operating Report for Broadband Borrowers
Operating Report for Telecommunications Borrowers

This certification of authority shall remain in force until the Agency has been notified of, and
has acknowledged to the Board, its rescinding of the attached resolution.
Certifier
TITLE

NAME (TYPE OR PRINT)

eAuthentication ID

NAME (TYPE OR PRINT)

eAuthentication ID

Security Administrator
TITLE

BORROWER'S NAME

SIGNATURE OF BOARD PRESIDENT
OR CHAIRMAN
DATE

SIGNATURE OF SECRETARY

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection
of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB
Control Number for this information collection is 0572-0031. Public reporting for this collection of information is estimated to be approximately 15 minutesper response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of
information. All responses to this collection of information are voluntary. However, in order to obtain or retain a benefit, the information in this form is required. Rural
Development has no plans to publish information collected under the provisions of this program. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Rural Development Innovation Center, Regulations
Management Division at [email protected]


File Typeapplication/pdf
File TitleForm 674 - Certificate of Authority to Submit or Grant Access to Data
AuthorPDRA
File Modified2022-08-16
File Created2006-03-22

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