Information Collection

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

IC 103061 under ICR 198501-0584-001 · OMB 0584-0064.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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Information Collection (IC) Details

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IC Title:	HOUSEHOLD COMPOSITION, INCOME STANDARDS, INITIAL MONTH BENEFITS, ADJUSTMENTS, DEDUCTIONS & 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	386,394	No	No
Form	396, 437	No	No
Form	439, 441	No	No
Form	442, 524	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,336,217	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	90,087,783	90,087,783
Annual IC Time Burden (Hours)	18,527,160	18,527,160
Annual IC Cost Burden (Dollars)	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.