Information Collection

Supplemental Form for Collecting Taxpayer Identifying Numbers - Private Sector

IC 3113 under ICR 200609-0584-003 · OMB 0584-0501.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0501 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-711 Supplemental Form for Collecting Taxpayer Identifying Numbers - Private Sector	Form
FNS-711 Supplemental Form for Collecting Taxpayer Identifying Nu FNS-711.pdf www.fns.usda.gov/FM/Documents/Forms/FNS-711.pdf	Form

IC Title:

Supplemental Form for Collecting Taxpayer Identifying Numbers - Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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
Form	FNS-711	Supplemental Form for Collecting Taxpayer Identifying Numbers	FNS-711.pdf	http://www.fns.usda.gov/FM/Documents/Forms/FNS-711.pdf	No		Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: Persons Doing Business with the Food and Nutrition Service

FR Citation: 65 FR 17251

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	-400	800
Annual IC Time Burden (Hours)	33	-33	66
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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