Information Collection

Household Composition, Income Standards, Initial Month Benefits, Adjustments, Deductions, And Outreach (model Food Stamp Forms)

IC 163344 under ICR 198208-0584-012 · OMB 0584-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0064 can be found here:

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Information Collection (IC) Details

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IC Title:	HOUSEHOLD COMPOSITION, INCOME STANDARDS, INITIAL MONTH BENEFITS, ADJUSTMENTS, DEDUCTIONS, AND OUTREACH (MODEL FOOD STAMP FORMS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FNS-385,	No	No
Form	386, 387,	No	No
Form	393, 394,	No	No
Form	395, 396,	No	No
Form	397, 437,	No	No
Form	439, 441,	No	No
Form	& 442	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 99,313,339	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	Previously Approved
Annual Number of Responses for this IC	99,313,339	0	99,313,339
Annual IC Time Burden (Hours)	27,591,178	27,031	27,564,147
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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