Information Collection

Form RD 1940-59, Settlement Statement

IC 1945 under ICR 200707-0575-002 · OMB 0575-0088.

Documents and Forms

Document Name Document Type
Form RD 1940-59 Form RD 1940-59, Settlement Statement Form
RD 1940-59 Settlement Statement RD1940-0059_961000V01.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form RD 1940-59, Settlement Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1940.406

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	RD 1940-59	Settlement Statement	RD1940-0059_961000V01.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21,134	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21,134	6,225	14,909
Annual IC Time Burden (Hours)	7,530	75	7,455
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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