Customer Data Worksheet Request for SCIMS Change

Customer Data Worksheet Request for Business Partner Record Change

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0265 can be found here:

Documents and Forms

Document Name Document Type
Form AD-2047 Customer Data Worksheet Request for SCIMS Change Form
AD2047egov_xx-xx-17V01.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Instruction
AD-2047 CUSTOMER DATA WORKSHEET REQUEST FOR BUSINESS PARTNER REC AD2047_17xxxxV01.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Form

Information Collection (IC) Details

IC Title:	Customer Data Worksheet Request for SCIMS Change	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-2047	CUSTOMER DATA WORKSHEET REQUEST FOR BUSINESS PARTNER RECORD CHANGE	AD2047_17xxxxV01.docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Fillable Printable
Instruction			AD2047egov_xx-xx-17V01.docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56,926	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	56,926	5,176	51,750
Annual IC Time Burden (Hours)	9,678	880	8,798
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.