Information Collection

Business (Contractors)

IC 260090 under ICR 202605-0584-001 · OMB 0584-0686.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNA-775 EmpowHR/Person Model Non-Employee Data Sheet Business (Contractors)	Form and Instruction
Appendix E EmpowHr Screenshots (2).docx	Other-Appendix E EmpowHr Screenshots
FNA-775 EmpowHR/Person Model Non-Employee Data Sheet Appendix B FNS 775 EmpowHR Person Model-1.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	FNA-775				No		Paper Only
Other-Appendix E EmpowHr Screenshots (2)					Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title: USDA/OP-1 Personnel and Payroll System

FR Citation: 63 FR 4213

Number of Respondents: 688

Number of Respondents for Small Entity: 30

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	688	688
Annual IC Time Burden (Hours)	344	344
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.

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