Information Collection Request

Food Stamp Program Repayment Demand and Program Disqualification

ICR 200803-0584-005 · OMB 0584-0492 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement 0584-0492.doc Supporting Statement A Uploaded 2008-04-29 Available
#0492 Burden table revision 4-28-08.xls Supplementary Document Uploaded 2008-04-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
3099 Food Stamp Program Repayment Demand and Program Disqualification Modified
184679 Food Stamp Program Repayment Demand and Program Disqualification New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2011 36 Months From Approved 07/31/2008
1,404,718 0 1,600,981
135,393 0 166,329
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Food Stamp Program Repayment Demand and Program Disqualification
Food Stamp Program Repayment Demand and Program Disqualification

table that charts list of burden
  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 1,404,718 1,600,981 0 0 -196,263 0
Annual Time Burden (Hours) 135,393 166,329 0 0 -30,936 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No