Burden Worksheet

0572-0074 worksheet FY22 7-2022.xlsx

Certification of Authority, RUS Form 675

Burden Worksheet

OMB: 0572-0074

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USDA - RUS
Title of Information Document




OMB No.



Certification of Authority




0572-0074
SUMMARY OF INFORMATION COLLECTION
RUS Form 675




Date Prepared









Jul-22
INSTRUCTIONS:

> (f) TOTAL
(h) TOTAL
(k) TOTAL
Use this form when a single information collection document involves multiple reporting and


> - = (e) Average - = (g) Average - = (j) Average
recordkeeping requirements.


> (d) TOTAL
(f) TOTAL
(i) TOTAL
IDENTIFICATION OF REPORTING AND RECORDKEEPING REQUIREMENTS




ANNUAL BURDEN





FORM

REPORTS


RECORDS


NO(s) NO. OF NO. OF TOTAL HOURS TOTAL NO. OF ANNUAL TOTAL
SECTION OF
(If "none" RESPON- RESPONSES ANNUAL PER HOURS RECORD- HOURS PER RECORD-
REGULATIONS DESCRIPTION so state) DENTS PER RESPONSES RESPONSE (Col. f & g) KEEPERS RECORD- KEEPING




RESPON- (Col. d & e)


KEEPER HOURS




DENT




(Col. i & j)
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k)












Certification of Authority RUS Form 675













Electric Borrowers
100 1 100 0.10 10

Telecom Borrowers
47 1 47 0.10 5



Broadband Borrowers
29 1 29 0.10 3




































































































































































































176 1.00 176 0.10 18
RUS Form 36 (07-91)







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