RDUP Form 674 "Certificate of Authority to Submit or Grant Access to Data"

What Is RDUP Form 674?

This is a legal form that was released by the U.S. Department of Agriculture - Rural Development Utilities Programs on March 1, 2006 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2006;
  • The latest available edition released by the U.S. Department of Agriculture - Rural Development Utilities Programs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of RDUP Form 674 by clicking the link below or browse more documents and templates provided by the U.S. Department of Agriculture - Rural Development Utilities Programs.

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Download RDUP Form 674 "Certificate of Authority to Submit or Grant Access to Data"

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According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is
0572-0031. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information.
U.S. Department of Agriculture
Rural Development Utilities Programs
CERTIFICATE OF AUTHORITY TO SUBMIT OR GRANT ACCESS TO DATA
INSTRUCTIONS-Submit one copy to the Rural Development Utilities Programs headquarters and one copy to the GFR.
In accordance with the requirements of the Rural Utilities Service, an agency delivering the U.S.
Department of Agriculture Rural Development Utilities Programs, herein after referred to as the Agency,
and by resolution, attached hereto, of the board of directors or other managing body
("the Borrower")
(the "Board" of
BORROWER'S NAME
located at
,
BORROWER'S ADDRESS
,
, 20
which resolution was adopted by a quorum of the Board, held on
the Board hereby authorizes the officer or manager whose name, title, and USDA eAuthentication ID
appear below (Certifier), to certify and submit the data requested on the following Agency data
collections. Furthermore, said resolution authorizes the following employee whose name, title, and
eAuthentication ID appear below (Security Administrator), to give, as appropriate, other employees,
officers, or contractors access to the Borrower's data on the USDA Rural Development Data Collection
System, subject to the terms of the attached instructions, for the purpose of completing the required data
collection indicated below:
(Check All That Apply)
Form No. (if applicable)
TITLE
7
Financial and Statistical Report (Electric - Distribution)
Operating Report (Electric - Generation)
12
--
Operating Report for Broadband Borrowers
--
Operating Report for Telecommunications Borrowers
This certification of authority shall remain in force until the Agency has been notified of, and
has acknowledged to the Board, its rescinding of the attached resolution.
Certifier
NAME (TYPE OR PRINT)
TITLE
eAuthentication ID
Security Administrator
TITLE
eAuthentication ID
NAME (TYPE OR PRINT)
BORROWER'S NAME
SIGNATURE OF BOARD PRESIDENT
OR CHAIRMAN
DATE
SIGNATURE OF SECRETARY
RDUP Form 674 (03-06)
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is
0572-0031. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information.
U.S. Department of Agriculture
Rural Development Utilities Programs
CERTIFICATE OF AUTHORITY TO SUBMIT OR GRANT ACCESS TO DATA
INSTRUCTIONS-Submit one copy to the Rural Development Utilities Programs headquarters and one copy to the GFR.
In accordance with the requirements of the Rural Utilities Service, an agency delivering the U.S.
Department of Agriculture Rural Development Utilities Programs, herein after referred to as the Agency,
and by resolution, attached hereto, of the board of directors or other managing body
("the Borrower")
(the "Board" of
BORROWER'S NAME
located at
,
BORROWER'S ADDRESS
,
, 20
which resolution was adopted by a quorum of the Board, held on
the Board hereby authorizes the officer or manager whose name, title, and USDA eAuthentication ID
appear below (Certifier), to certify and submit the data requested on the following Agency data
collections. Furthermore, said resolution authorizes the following employee whose name, title, and
eAuthentication ID appear below (Security Administrator), to give, as appropriate, other employees,
officers, or contractors access to the Borrower's data on the USDA Rural Development Data Collection
System, subject to the terms of the attached instructions, for the purpose of completing the required data
collection indicated below:
(Check All That Apply)
Form No. (if applicable)
TITLE
7
Financial and Statistical Report (Electric - Distribution)
Operating Report (Electric - Generation)
12
--
Operating Report for Broadband Borrowers
--
Operating Report for Telecommunications Borrowers
This certification of authority shall remain in force until the Agency has been notified of, and
has acknowledged to the Board, its rescinding of the attached resolution.
Certifier
NAME (TYPE OR PRINT)
TITLE
eAuthentication ID
Security Administrator
TITLE
eAuthentication ID
NAME (TYPE OR PRINT)
BORROWER'S NAME
SIGNATURE OF BOARD PRESIDENT
OR CHAIRMAN
DATE
SIGNATURE OF SECRETARY
RDUP Form 674 (03-06)