COUPON ACCOUNT AND DESTRUCTION REPORT

ICR 198110-0584-002

OMB: 0584-0053

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
102979 Migrated
ICR Details
0584-0053 198110-0584-002
Historical Active 198005-0584-009
USDA/FNS
COUPON ACCOUNT AND DESTRUCTION REPORT
Revision of a currently approved collection   No
Regular
Approved without change 11/24/1981
Retrieve Notice of Action (NOA) 10/09/1981
Approved, contingent on withdrawal of FNS-43 and FNS-136.
  Inventory as of this Action Requested Previously Approved
04/30/1984 04/30/1984 05/31/1983
36,000 0 3,000
12,000 0 1,500
0 0 0

THIS FORM ACCOUNTS FOR COUPONS RETURNED, EXCHANGED, DAMAGED, OR FOUND TO BE PART OF AN OVERAGE/SHORTAGE IN A COUPON SHIPMENT. IT TRANSMITS UNUSABLE COUPONS TO THE DESTRUCTION POINT AND DOCUMENTS THE DESTRUCTIO IT REPLACES THE FNS-43 AND FNS-136, STREAMLINING DATA COLLECTION AND REDUCES THE INFORMATION COLLECTION BURDEN.

None
None


No

1
IC Title Form No. Form Name
COUPON ACCOUNT AND DESTRUCTION REPORT FNS-471

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 36,000 3,000 0 0 33,000 0
Annual Time Burden (Hours) 12,000 1,500 0 0 10,500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/09/1981


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