Information Collection

Part 283, Food Distribution Program For Households On Indian Reservation Household Application Form

IC 103211 under ICR 198112-0584-006 · OMB 0584-0257.

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IC Title:

PART 283, FOOD DISTRIBUTION PROGRAM FOR HOUSEHOLDS ON INDIAN RESERVATION HOUSEHOLD APPLICATION FORM

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	27,000	27,000
Annual IC Time Burden (Hours)	13,500	13,500
Annual IC Cost Burden (Dollars)	0	0

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Title	Document	Date Uploaded

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