RHS-Finance Office Forms

OMB 0575-0184

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.

The latest form for RHS-Finance Office Forms expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RD Form 1951-66 FedWire Worksheet Form and Instruction
Form RD 3550-28A Authorization Agreement for Preauthorized Payments-CLSS Form
Form RD 3550-28 Authorization Agreement for Preauthorized Payments (RBS/RUS borrowers) Form
Form RD 1951-65 Customer Initiated Payments (CIP) Form
Form RD 3550-28 Authorization Agreement for Preauthorized Payments (SFH borrowers) Form
Copy of RHS- Finance Office Forms Spreadsheet 0575-0184 FY 24 - 05292024.xlsx Supplementary Document
0575-0184 Finance Office Forms 60 DFRN FY 24 Final.docx Supplementary Document
2024-16033 FO 60 DFRN FY24 FR Print.pdf Supplementary Document
RHS- Finance Office Forms Supporting Statement FY 24.docx Supporting Statement A
FedWire Worksheet Form and Instruction
Authorization Agreement for Preauthorized Payments-CLSS Form
Authorization Agreement for Preauthorized Payments (RBS/RUS borrowers) Form
Customer Initiated Payments (CIP) Form
Authorization Agreement for Preauthorized Payments (SFH borrowers) Form

All Historical Document Collections

202410-0575-001	Extension without change of a currently approved collection	2025-01-21
202001-0575-004 Approved with change	Revision of a currently approved collection	2021-03-15
201710-0575-004 Approved with change	Revision of a currently approved collection	2018-01-08
201408-0575-002 Approved without change	Extension without change of a currently approved collection	2014-09-23
201104-0575-001 Approved without change	Revision of a currently approved collection	2011-05-24
200803-0575-001 Approved without change	Revision of a currently approved collection	2008-05-28
200504-0575-001 Approved without change	Revision of a currently approved collection	2005-04-04
200203-0575-002 Approved without change	New collection (Request for a new OMB Control Number)	2002-03-25

OMB Details

Authorization Payments - Private

Federal Enterprise Architecture: Economic Development - Business and Industry Development

Form RD-3550-28A	Authorization Agreement for Preauthorized Payments	Fillable Printable	Form
Form RD-1951-66	Fedwire Worksheet	Printable Only	Form
Form RD-1951-65	Customer Initiated Payments Enrollment Form	Fillable Printable	Form
Form RD-3550-28	Authorization Agreement for Preauthorization Payments	Printable Only	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.