FNS-742 Data Study (1 of 2)

Generic Clearance to Conduct Formative Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Document Name Document Type
Appendix B - FNS-742.pdf Other- Appendix B - FNS-742
0584-0524 OMB memo - FNS-742 Data Study_FINAL.docx 0584-0524 OMB memo - FNS-742 Data Study IC Document

Information Collection (IC) Details

IC Title:	FNS-742 Data Study (1 of 2)	Agency IC Tracking Number:

IC Status: New

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
Other- Appendix B - FNS-742			Appendix B - FNS-742.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	79	79
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0584-0524 OMB memo - FNS-742 Data Study	0584-0524 OMB memo - FNS-742 Data Study_FINAL.docx	07/28/2017

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