COUPON ACCOUNT AND DESTRUCTION REPORT

ICR 199303-0584-001

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
102983 Migrated
ICR Details
0584-0053 199303-0584-001
Historical Active 198911-0584-001
USDA/FNS
COUPON ACCOUNT AND DESTRUCTION REPORT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 05/24/1993
Retrieve Notice of Action (NOA) 03/12/1993
This information collection is approved through 5-96 under the following conditions: FNS will add the burden disclosure statement to the instructions on the back page of the form.
  Inventory as of this Action Requested Previously Approved
05/31/1996 05/31/1996
123,312 0 0
40,331 0 0
0 0 0

THIS REPORT ACCOUNTS FOR COUPONS RETURNED, EXCHANGED, OR FOUND TO BE PART OF AN OVERAGE OR SHORTAGE IN COUPON SHIPMENT OR TRANSFER. THE FO TRANSMITS UNUSABLE COUPONS TO A DESTRUCTION POINT AND DOCUMENTS THE DESTRUCTION FOR ACCOUNTABILITY.

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 123,312 0 0 123,312 0 0
Annual Time Burden (Hours) 40,331 0 0 40,331 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
03/12/1993


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