MODEL FOOD STAMPS, PERIODIC REPORTING, NOTICE OF LATE INCOMPLETE REPORTING, ADEQUATE NOTICE, SPONSORED ALIENS, DUPLICATION PARTICIPATION, AND DISQUALIFIED RECIPIENT REPORT
ICR 199502-0584-001 · OMB 0584-0064 · Historical Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0584-0064 can be found here:
MODEL FOOD STAMPS, PERIODIC REPORTING, NOTICE OF LATE INCOMPLETE REPORTING, ADEQUATE NOTICE, SPONSORED ALIENS, DUPLICATION PARTICIPATION, AND DISQUALIFIED RECIPIENT REPORT
This collection is approved as amended by FCS's submission of 5/1/95 and 5/2/95. In addition, FCS agrees to remove the reference to OMB and OMB's address from the burden statement on each form. If FCS chooses to make any additional changes to the draft revisions, since they were sent to OMB in draft form, FCS must resubmit this package to OMB for review.
Inventory as of this Action
Requested
Previously Approved
04/30/1997
04/30/1997
05/31/1995
111,008,185
0
0
36,964,654
0
21,355,788
0
0
0
SPECIFIC FEDERAL LAWS AND REGULATIONS REQUIRE THAT CERTAIN INFORMATION BE COLLECTED AND EVALUATED BEFORE AN INDIVIDUAL CAN RECEIVE FOOD STAMPS. SOME OF THE REQUIRED INFORMATION TO BE COLLECTED IS: NAMES OF ALL HOUSEHOLD MEMBERS, SOCIAL SECURITY NUMBER, ALL EARNED AND UNEARNED INCOME, ALL RESOURCES OWNED BY HOUSEHOLD MEMBERS, ETC.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
MODEL FOOD STAMPS, PERIODIC REPORTING, NOTICE OF LATE INCOMPLETE REPORTING, ADEQUATE NOTICE, SPONSORED ALIENS, DUPLICATION PARTICIPATION, AND DISQUALIFIED RECIPIENT REPORT