Information Collection

Food Coupon Deposit Document

IC 3026 under ICR 200805-0584-003 · OMB 0584-0314.

Documents and Forms

Document Name Document Type
Form FNS-521 Food Coupon Deposit Document Form
FNS-521 Food Coupon Deposit Document Food Coupon Deposit Document (FCDD) form.pdf Form
FDCC burden table.xls Burden Table IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Food Coupon Deposit Document	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 278.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-521	Food Coupon Deposit Document	Food Coupon Deposit Document (FCDD) form.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 369	Number of Respondents for Small Entity: 37

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	1,390	-16,750	18,140
Annual IC Time Burden (Hours)	14	-162	176
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Burden Table	FDCC burden table.xls	06/05/2008

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