Information Collection

Application of Approval of Commodity Eligibility

IC 810 under ICR 199605-0412-001 · OMB 0412-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0412-0004 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application of Approval of Commodity Eligibility	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	11				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 365	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	730	730
Annual IC Time Burden (Hours)	730	730
Annual IC Cost Burden (Dollars)	13,000	13,000

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.