Information Collection

State, Local and Tribabl Government (CN Agency Staff, State Medicaid Agency Staff, Other State Agency Staff, School District) - Non-Response

IC 227122 under ICR 201706-0584-001 · OMB 0584-0630.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0630 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NON RESPONDENTS BURDEN INSTRUMENT.doc	Other-Non-Respondents Burden Instrum

IC Title:

State, Local and Tribabl Government (CN Agency Staff, State Medicaid Agency Staff, Other State Agency Staff, School District) - Non-Response

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Non-Respondents Burden Instrument			NON RESPONDENTS BURDEN INSTRUMENT.doc		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: 4

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	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.