Information Collection

Status of Sample Selection and Completion - Recordkeeping

IC 44340 under ICR 200607-0584-004 · OMB 0584-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0034 can be found here:

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Information Collection (IC) Details

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IC Title:	Status of Sample Selection and Completion - Recordkeeping	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 272.1(f)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	636	636
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

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