Information Collection

National Hunger Clearinghouse Database Form FNS 543 (BUS)

IC 3074 under ICR 201804-0584-001 · OMB 0584-0474.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0474 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-543 National Hunger Clearinghouse Database Form FNS 543 (BUS)	Form
Appendix A-3 Screenshot of FNS 543 Form 9-13-18.docx www.hungerfreeamerica.org/about/our-work/usda-national-hunger-hotlineor nhc.fns.usda.gov/nhc/submit	Other-Appendix A-3 Screenshot for FN
FNS-543 NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM FNS-543_0584-0474 (Final 4-2-2015).pdf	Form

IC Title:

National Hunger Clearinghouse Database Form FNS 543 (BUS)

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-543	NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM	FNS-543_0584-0474 (Final 4-2-2015).pdf		Yes	Yes	Paper Only
Other-Appendix A-3 Screenshot for FNS 543			Appendix A-3 Screenshot of FNS 543 Form 9-13-18.docx	https://www.hungerfreeamerica.org/about/our-work/usda-national-hunger-hotlineor https://nhc.fns.usda.gov/nhc/submit	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 300

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	600	0	600
Annual IC Time Burden (Hours)	50	-50	100
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.