Information Collection Request

Multipurpose Application

ICR 200707-0694-002 · OMB 0694-0088 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SS_for_SNAP-R.rtf Supporting Statement A Uploaded 2007-08-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
4963 Multipurpose Application Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved 01/31/2009
20,753 0 20,753
15,512 0 15,619
0 0 105,269





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Multipurpose Application

table that charts list of burden
  Total Request 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 20,753 20,753 0 0 0 0
Annual Time Burden (Hours) 15,512 15,619 0 -107 0 0
Annual Cost Burden (Dollars) 0 105,269 0 -105,269 0 0


Reginfo record details
  No