Information Collection

Status of Claims Against Households

IC 2967 under ICR 201207-0584-003 · OMB 0584-0069.

Documents and Forms

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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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

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			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: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	636	636
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.

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