Supplemental Form for Collecting Taxpayer Identifying Numbers

ICR 201301-0584-002

OMB: 0584-0501

Federal Form Document

ICR Details
0584-0501 201301-0584-002
Historical Active 200906-0584-003
USDA/FNS
Supplemental Form for Collecting Taxpayer Identifying Numbers
Extension without change of a currently approved collection   No
Regular
Approved without change 03/13/2013
Retrieve Notice of Action (NOA) 02/11/2013
  Inventory as of this Action Requested Previously Approved
03/31/2016 36 Months From Approved 03/31/2013
800 0 800
66 0 66
0 0 0

To collect the taxpayer identifying numbers of all entities directly doing business with FNS.

PL: Pub.L. 104 - 134 31001(y) Name of Law: Debt Collection Improvement Act of 1996
  
None

Not associated with rulemaking

  77 FR 72321 12/05/2012
78 FR 9357 02/08/2013
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 800 800 0 0 0 0
Annual Time Burden (Hours) 66 66 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,227
No
No
No
No
No
Uncollected
Lynnette Williams 703 605-4782 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/11/2013


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