7 CFR 226 - Household Burden

Child and Adult Care Food Program (CACFP)

⚠️ Notice: This information collection may be referencing outdated material.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.pdf Other-Appendix D Household Income St
Appendix D - Household Income Statement Template.pdf Other-Appendix D Household Income St
Appendix E7 - Nutrition Requirements for Fluid Milk and Milk Substitutions.pdf Appendix E7 Nutrition Requirements for Fluid Milk and Milk Substitutions IC Document
Appendix E7 - Nutrition Requirements for Fluid Milk and Milk Substitutions.pdf Appendix E7 Nutrition Requirements for Fluid Milk and Milk Substitutions IC Document

Information Collection (IC) Details

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

Is this a Common Form? No		IC Status: Modified

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.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: 3,599,004	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	11,712,188	7,306,436	4,405,752
Annual IC Time Burden (Hours)	977,968	612,215	365,753
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix E7 Nutrition Requirements for Fluid Milk and Milk Substitutions	Appendix E7 - Nutrition Requirements for Fluid Milk and Milk Substitutions.pdf	03/20/2022

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