Information Collection

Status of Claims Against Households

IC 2967 under ICR 200903-0584-001 · OMB 0584-0069.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0069 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-209 Status of Claims Against Households	Form
FNS-209 STATUS OF CLAIMS AGAINST HOUSEHOLDS Revised FNS-209.pdf fprs.fns.usda.gov	Form

IC Title:

Status of Claims Against Households

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 273.18(m)(5) 7 CFR 273.18

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-209	STATUS OF CLAIMS AGAINST HOUSEHOLDS	Revised FNS-209.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 94 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	212	0	212
Annual IC Time Burden (Hours)	636	-106	742
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.