Information Collection

Respondent - Business

IC 228208 under ICR 201708-0584-003 · OMB 0584-0637.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0637 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment G.3_CBO Protocol_10-16-17.docx	Other-Attachment G.3_CBO Protocol_10
Attch D.1.a_CBO Email Attch 1_ 9-13-17.docx Attachment D.1.a_CBO Email Attch 1_ 9-13-17.docx	IC Document
Attch D.1.b_CBO Email Attch 2_ 9-13-17.docx Attachment D.1.b_CBO Email Attch 2_ 9-13-17.docx	IC Document
Attch D.1_CBO Recruitment Email 9-13-17.docx Attachment D.1_CBO Recruitment Email 9-13-17.docx	IC Document
Attachment I.9_CBO Recruitment Email 9-13-17.docx Attachment I.9_CBO Recruitment Email 9-13-17.docx	IC Document

IC Title:

Respondent - Business

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-Attachment G.3_CBO Protocol_10-16-17.docx			Attachment G.3_CBO Protocol_10-16-17.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-10 USDA/FNS Persons Doing Business w/ FNS

FR Citation: 65 FR 17251

Number of Respondents: 70

Number of Respondents for Small Entity: 70

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	70	70
Annual IC Time Burden (Hours)	230	230
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment D.1.a_CBO Email Attch 1_ 9-13-17.docx	Attch D.1.a_CBO Email Attch 1_ 9-13-17.docx	09/28/2017
Attachment D.1.b_CBO Email Attch 2_ 9-13-17.docx	Attch D.1.b_CBO Email Attch 2_ 9-13-17.docx	09/28/2017
Attachment D.1_CBO Recruitment Email 9-13-17.docx	Attch D.1_CBO Recruitment Email 9-13-17.docx	09/28/2017
Attachment I.9_CBO Recruitment Email 9-13-17.docx	Attachment I.9_CBO Recruitment Email 9-13-17.docx	09/28/2017

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