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

Forms and Documents

Document Name	Status
Form RD-3550-28 Authorization Payments - Private Form	Modified
Form RD 3550-28 Authorization Payments - Tribal Form	New
Form RD 3550-28 Authorization Payments - Individuals Form	New
spreadsheet.doc Supplementary Document	2008-03-19
supporting statement.doc Supporting Statement A	2008-05-22

IC Document Collections

IC ID	Document Title	Status
2043	Authorization Payments - Private Form	Modified
184183	Authorization Payments - Tribal Form	New
184182	Authorization Payments - Individuals Form	New

ICR Details

OMB Control No: 0575-0184	ICR Reference No: 200803-0575-001
Status: Historical Active	Previous ICR Reference No: 200504-0575-001
Agency/Subagency: USDA/RHS	Agency Tracking No:
Title: RD 3550-28, "Authorization Agreement for Preauthorization Payments", RD 1951-65, "Customer Initiated Payments (CIP)" and RD 1951-66, "Fedwire Worksheet"
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/21/2008
	Date Received in OIRA: 05/28/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	36 Months From Approved	08/31/2008
Responses	23,520	0	22,263
Time Burden (Hours)	11,761	0	11,132
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 5499	01/30/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 30600	05/28/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Authorization Payments - Tribal	RD 3550-28, RD 1951-66, RD 1951-65	Authorization Agreement for Preauthorization Payments ,   Customer Initiated Payments (CIP) ,   Fedwire Worksheet
Authorization Payments - Individuals	RD 1951-66, RD 3550-28, RD 1951-65	Authorization Agreement for Preauthorization Payments ,   Customer Initiated Payments (CIP) ,   Fedwire Worksheet
Authorization Payments - Private	RD-3550-28, RD-1951-65, RD-1951-66	Authorization Agreement for Preauthorization Payments ,   Customer Initiated Payments Enrollment Form ,   Fedwire Worksheet

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ICR Summary of Burden

	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	23,520	22,263	0	0	1,257	0
Annual Time Burden (Hours)	11,761	11,132	0	0	629	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The number of respondents for the forms has changed according to use resulting in an adjustment increase of 629 burden hours.

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Annual Cost to Federal Government: $93,170

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/28/2008

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