Information Collection

Household: Notice

IC 208155 under ICR 202211-0584-005 · OMB 0584-0587.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Household: Notice

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 276.6(b)(6) 7 CFR 274.6(b)(5)

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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: USDA FNS 10 Persons Doing Business with FNS

FR Citation: 65 FR 17251

Number of Respondents: 372,285

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	392,896	141,040	251,856
Annual IC Time Burden (Hours)	22,740	8,163	14,577
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.