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Authorization Agreement for Preauthorized Payments-CLSS
RHS-Finance Office Forms
OMB: 0575-0184
IC ID: 272819
OMB.report
USDA/RHS
OMB 0575-0184
ICR 202410-0575-001
IC 272819
( )
Documents and Forms
Document Name
Document Type
Form RD 3550-28A
Authorization Agreement for Preauthorized Payments-CLSS
Form
RD 3550-28A Authorization Agreement for Preauthorized Payments
3550-28 Authorization Agreement for Preauthorized Payments FY24.pdf
forms.sc.egov.usda.gov/eForms/browseFormsAction.do?pageAction=displayPDF&formIndex=19
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Authorization Agreement for Preauthorized Payments-CLSS
Agency IC Tracking Number:
0575-0184
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
7 CFR 1951.57(a)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
RD 3550-28A
Authorization Agreement for Preauthorized Payments
3550-28 Authorization Agreement for Preauthorized Payments FY24.pdf
https://forms.sc.egov.usda.gov/eForms/browseFormsAction.do?pageAction=displayPDF&formIndex=19
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
USDA/RD–1 Current or Prospective Producers or Landowners, Applicants, Borrowers, Grantees, Tenants, and other participants in RD programs
FR Citation:
89 FR 72820
Number of Respondents:
72
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
72
0
72
0
0
0
Annual IC Time Burden (Hours)
30
0
30
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.