Information Collection

National Hunger Clearinghouse Database Form

IC 3074 under ICR 201401-0584-003 · OMB 0584-0474.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0474 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

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-543	NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM	FNS-543.pdf	www.worldhungeryear.org/nhc data/nhc 01.asp	Yes	Yes	Fillable Fileable Signable

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,750	1,750
Annual IC Time Burden (Hours)	292	292
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.