Customer Data Worksheet Request for SCIMS Record Change

ICR 201402-0560-001

OMB: 0560-0265

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supporting Statement A
2014-07-01
Supplementary Document
2014-07-01
IC Document Collections
ICR Details
0560-0265 201402-0560-001
Historical Active 201202-0560-002
USDA/FSA
Customer Data Worksheet Request for SCIMS Record Change
Extension without change of a currently approved collection   No
Regular
Approved without change 08/27/2014
Retrieve Notice of Action (NOA) 07/01/2014
  Inventory as of this Action Requested Previously Approved
08/31/2017 36 Months From Approved 08/31/2014
51,750 0 51,750
8,798 0 8,798
0 0 0

Critical Customer Data is required in order to identify USDA program participants and ensure that benefits are directed to the correct customer and respective Tax Identification Numbers.

None
None

Not associated with rulemaking

  79 FR 15303 03/19/2014
79 FR 126 07/01/2014
Yes

1
IC Title Form No. Form Name
Customer Data Worksheet Request for SCIMS Change Revised - AD-2047 Customer Data Worksheet Request for SCIMS Record Change

  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 51,750 51,750 0 0 0 0
Annual Time Burden (Hours) 8,798 8,798 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$295,522
No
No
No
No
No
Uncollected
Mary Ann Ball 202-720-4283 [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.
07/01/2014


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