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Supplemental Form for Collecting Taxpayer Identifying Numbers - Private Sector
Supplemental Form for Collecting Taxpayer Identifying Numbers
OMB: 0584-0501
IC ID: 3113
OMB.report
USDA/FNS
OMB 0584-0501
ICR 200609-0584-003
IC 3113
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0501 can be found here:
2013-02-11 - Extension without change of a currently approved collection
2009-12-14 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
400
0
0
-400
0
800
Annual IC Time Burden (Hours)
33
0
0
-33
0
66
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.