Information Collection

Certification of Authority, RUS Form 675

IC 43525 under ICR 201901-0572-007 · OMB 0572-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0074 can be found here:

Documents and Forms

Document Name Document Type
Form RUS Form 675 Certificate of Authority Certification of Authority, RUS Form 675 Form
RUS Form 675 Certificate of Authority RUS Form 675.pdf www.rd.usda.gov/publications/regulations-guidelines/forms-publications Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of Authority, RUS Form 675	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	RUS Form 675	Certificate of Authority	RUS Form 675.pdf	http://www.rd.usda.gov/publications/regulations-guidelines/forms-publications	Yes	No	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 163	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	163	-87	250
Annual IC Time Burden (Hours)	16	-9	25
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.

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