OMB
.report
Search
National Hunger Clearinghouse Database Form
National Hunger Clearinghouse Database Form
OMB: 0584-0474
IC ID: 3074
OMB.report
USDA/FNS
OMB 0584-0474
ICR 201401-0584-003
IC 3074
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0474 can be found here:
2022-02-22 - Extension without change of a currently approved collection
2018-10-09 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FNS-543
National Hunger Clearinghouse Database Form
Form
FNS-543 NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM
FNS-543.pdf
www.worldhungeryear.org/nhc data/nhc 01.asp
Form
Appendix B - National Hunger Database Form Screenshot.pdf
Appendix B - National Hunger Database Form Screenshot
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Hunger Clearinghouse Database Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Form
FNS-543
NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM
FNS-543.pdf
www.worldhungeryear.org/nhc data/nhc 01.asp
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Food and Nutrition Assistance
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,750
Number of Respondents for Small Entity:
175
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,750
0
0
0
0
1,750
Annual IC Time Burden (Hours)
292
0
0
0
0
292
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix B - National Hunger Database Form Screenshot
Appendix B - National Hunger Database Form Screenshot.pdf
08/21/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.