Information Collection

RUS Form 87, Request for Mail List Data

IC 1784 under ICR 201705-0572-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	87	Request for Mail List Data - RUS Form 87	RUS87 5-28-14.pdf	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: 980	Number of Respondents for Small Entity: 980

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	980	-145	1,125
Annual IC Time Burden (Hours)	245	-36	281
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.