Information Collection

Individuals and Households

IC 205074 under ICR 201506-0584-002 · OMB 0584-0578.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0578 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CBO - Appendix F - Pre-Survey Notification Letter.docx	Other-Pre-survey notification letter
CPI Survey - Engligh Version (8-25-2015).docx	Other-Revised CPI Survey English
CPI Survey - Spanish Version (8-25-2015).docx	Other-Revised CPI Survey Spanish

IC Title:

Individuals and 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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Pre-survey notification letter	CBO - Appendix F - Pre-Survey Notification Letter.docx	Yes	Yes	Fillable Fileable
Other-Revised CPI Survey English	CPI Survey - Engligh Version (8-25-2015).docx	No		Paper Only
Other-Revised CPI Survey Spanish	CPI Survey - Spanish Version (8-25-2015).docx	No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 3,390

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	11,048	6,324	4,724
Annual IC Time Burden (Hours)	866	310	556
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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