7 CFR 226 - Household Burden

Child and Adult Care Food Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0055 can be found here:

Documents and Forms

Document Name Document Type
Appendix D - Household Income Statement Template.docx Other-Appendix D: Household Income S

Information Collection (IC) Details

IC Title:	7 CFR 226 - Household Burden	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 226

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix D: Household Income Statement Template			Appendix D - Household Income Statement Template.docx		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,626,310	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,405,752	4,405,752
Annual IC Time Burden (Hours)	365,753	365,753
Annual IC Cost Burden (Dollars)	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.