Information Collection

Non Response Placeholder

IC 191125 under ICR 201012-0584-001 · OMB 0584-0554.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0554 can be found here:

Documents and Forms

Document Name Document Type
NON-Response Place Holder.doc Other-Non response Place Holder

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Non Response Placeholder	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Non response Place Holder			NON-Response Place Holder.doc		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,542	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,542	1,487	1,055
Annual IC Time Burden (Hours)	240	-55	295
Annual IC Cost Burden (Dollars)	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.