Request for Administrative Review

ICR 200604-0584-001

OMB: 0584-0520

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
43554
Migrated
ICR Details
0584-0520 200604-0584-001
Historical Active 200301-0584-003
USDA/FNS
Request for Administrative Review
Revision of a currently approved collection   No
Regular
Approved without change 07/27/2006
Retrieve Notice of Action (NOA) 04/20/2006
  Inventory as of this Action Requested Previously Approved
07/31/2009 36 Months From Approved 07/31/2006
782 0 1,363
133 0 233
0 0 0

A letter to request an Administrative Review of a Food Stamp Program determination concerning a retail food store's participation in the program.

None
None


No

1
IC Title Form No. Form Name
Request for Administrative Review

  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 782 1,363 0 0 -581 0
Annual Time Burden (Hours) 133 233 0 0 -100 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.
04/20/2006


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