OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

RD 3550-28, "Authorization Agreement for Preauthorization Payments", RD 1951-65, "Customer Initiated Payments (CIP)" and RD 1951-66, "Fedwire Worksheet"

ICR 200504-0575-001 · OMB 0575-0184 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
2043 RD 3550-28, "Authorization Agreement for Preauthorization Payments", RD 1951-65, "Customer Initiated Payments (CIP)" and RD 1951-66, "Fedwire Worksheet" Form Migrated
ICR Details
0575-0184 200504-0575-001
Historical Active 200203-0575-002
USDA/RHS
RD 3550-28, "Authorization Agreement for Preauthorization Payments", RD 1951-65, "Customer Initiated Payments (CIP)" and RD 1951-66, "Fedwire Worksheet"
Revision of a currently approved collection   No
Regular
Approved without change 06/22/2005
Retrieve Notice of Action (NOA) 04/04/2005
This package is approved for three years. The agency should make the three forms contained in this package available in electronic format and make them available on the agency's website. The agency should report back to OMB when it completes this requirement.
  Inventory as of this Action Requested Previously Approved
06/30/2008 06/30/2008 06/30/2005
22,263 0 1,200
11,132 0 600
0 0 0
Forms will be used by the Agency to obtain bank routing information from the borrower's financial institutions to establish an electronic loan payment plan.
None
None
No
1
IC Title Form No. Form Name
RD 3550-28, "Authorization Agreement for Preauthorization Payments", RD 1951-65, "Customer Initiated Payments (CIP)" and RD 1951-66, "Fedwire Worksheet" RD-3550-28, RD-1951-65, RD-1951-66
  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 22,263 1,200 0 21,063 0 0
Annual Time Burden (Hours) 11,132 600 0 10,532 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/04/2005