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⚠️ Notice: This information collection may be referencing outdated material.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: 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.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	Previously Approved
Annual Number of Responses for this IC	11,712,188	11,712,188
Annual IC Time Burden (Hours)	977,968	977,968
Annual IC Cost Burden (Dollars)	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.