Information Collection

Certification of Authority, RUS Form 675

IC 43525 under ICR 202207-0572-002 · OMB 0572-0074.

Documents and Forms

Document Name Document Type
Form Form 675 Certification of Authority, RUS Form 675 Form
Form 675 Certification of Authority Form 675 1-19-22.pdf 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	Form 675	Certification of Authority	Form 675 1-19-22.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title: USDA/Rural Development-1 Applicant, Borrower, Grantee or Tenant File	FR Citation: 84 FR 21315

Number of Respondents: 176	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	176	13	163
Annual IC Time Burden (Hours)	18	2	16
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.