Information Collection

Status of Claims Against Households

IC 2967 under ICR 201207-0584-003 · OMB 0584-0069.

Documents and Forms

Document Name Document Type
Form FNS-209 Status of Claims Against Households Form
FNS-209 STATUS OF CLAIMS AGAINST HOUSEHOLDS Revised FNS-209.pdf fprs.fns.usda.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Status of Claims Against Households	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 273.18 7 CFR 273.18(m)(5)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS-209	STATUS OF CLAIMS AGAINST HOUSEHOLDS	Revised FNS-209.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable

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: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	636	636
Annual IC Cost Burden (Dollars)	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.