Information Collection

7 CFR 226 - Household Burden

IC 45307 under ICR 202411-0584-001 · OMB 0584-0055.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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					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 %

table that charts list of burden
	Requested	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

table that charts IC Documents
Title	Document	Date Uploaded
Appendix E7 Nutrition Requirements for Fluid Milk and Milk Substitutions		03/20/2022

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

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