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OMB Control No: 0572-0074	ICR Reference No: 202207-0572-002
Status: Received in OIRA	Previous ICR Reference No: 201901-0572-007
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: Certification of Authority, RUS Form 675
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 11/03/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	176	163
Time Burden (Hours)	18	16
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	176	163	13
Annual Time Burden (Hours)	18	16	2
Annual Cost Burden (Dollars)	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 increase in the estimated forecasted number of responses/respondents from 163 per year to 176 per year is representative of the actual number and trend of form submissions over the period since the last Supporting Statement was prepared.

Annual Cost to Federal Government: $645

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Pamela Bennett 202 720-9639 pamela.bennett@usda.gov