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Federal forms, ICRs, and supporting documents

Information Collection Request

Supplemental Form for Collecting Taxpayer Identifying Numbers

ICR 200609-0584-003 · OMB 0584-0501 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form FNS-711 Supplemental Form for Collecting Taxpayer Identifying Numbers - Individuals Form and Instruction New Available
Form FNS-711 Supplemental Form for Collecting Taxpayer Identifying Numbers - Private Sector Form Modified Repair queued
#0584-0501 Supporting Statement.doc Supporting Statement A Uploaded 2006-09-19 Available
DR 2100-2.pdf Supplementary Document Uploaded 2006-09-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
45325 Supplemental Form for Collecting Taxpayer Identifying Numbers - Individuals Form and Instruction New
3113 Supplemental Form for Collecting Taxpayer Identifying Numbers - Private Sector Form Modified
ICR Details
0584-0501 200609-0584-003
Historical Active 200306-0584-003
USDA/FNS
Supplemental Form for Collecting Taxpayer Identifying Numbers
Extension without change of a currently approved collection   No
Regular
Approved without change 12/26/2006
Retrieve Notice of Action (NOA) 09/30/2006
  Inventory as of this Action Requested Previously Approved
12/31/2009 36 Months From Approved 12/31/2006
800 0 800
66 0 66
0 0 0
The Debt Collection Improvement Act of 1996 requires all Federal agencies to collect the taxpayer identifying numbers of all entities they directly do business with. Compliance with law is the purpose of this collection.
PL: Pub.L. 104 - 134 31001(y) Name of Law: Debt Collection Improvement Act of 1996
  
None
Not associated with rulemaking
  71 FR 43094 07/31/2006
71 FR 186 09/26/2006
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 800 800 0 0 0 0
Annual Time Burden (Hours) 66 66 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,050
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Dawn Wolfgang 703 305-2811 [email protected]
  No
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.
09/30/2006