Information Collection

Split Panel Test for Revised Survey Instrument--Non-respondents

IC 241358 under ICR 202201-0536-005 · OMB 0536-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NON-Response Place Holder.pdf	Other-Non-Response Place Holder
NON-Response Place Holder.pdf	Other-Non-Response Place Holder

IC Title:

Split Panel Test for Revised Survey Instrument--Non-respondents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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-Response Place Holder			NON-Response Place Holder.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-7,800	7,800
Annual IC Time Burden (Hours)	-130	130
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.