Information Collection

Non Responding Households

IC 196147 under ICR 201212-0584-003 · OMB 0584-0559.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0559 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Non Response.docx	Other-Non Responders
Advance_Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Eng_v1_Final.docx Advance Letter_FollowUp_Nonresponding_Households	IC Document
Advance_Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Spanish_v3_Final.docx Advance Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Spanish	IC Document

IC Title:

Non Responding Households

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Non Responders			Non Response.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,566

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	25,132	16,000	9,132
Annual IC Time Burden (Hours)	1,257	800	457
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Advance Letter_FollowUp_Nonresponding_Households	Advance_Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Eng_v1_Final.docx	03/18/2011
Advance Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Spanish	Advance_Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Spanish_v3_Final.docx	03/18/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.