Information Collection

RUS Form 87, Request for Mail List Data

IC 1784 under ICR 202410-0572-003 · OMB 0572-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
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

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	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: Privacy Act of 1974; System of Records

FR Citation: 89 FR 72820

Number of Respondents: 869

Number of Respondents for Small Entity: 869

Affected Public: Private Sector

Private Sector: 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	869	-116	985
Annual IC Time Burden (Hours)	217	-29	246
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].