Information Collection

National Food Acqusition and Purchase Survey -- Refusals/Non-respondents

IC 200402 under ICR 201207-0536-001 · OMB 0536-0068.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
S-Refusal Conversion Letter.pdf	Other-Refusal Conversion Letter

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Refusal Conversion Letter			S-Refusal Conversion Letter.pdf		No		Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,679

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	18,972	18,972
Annual IC Time Burden (Hours)	1,328	1,328
Annual IC Cost Burden (Dollars)	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.