Information Collection

Individuals and Households

IC 205074 under ICR 201212-0584-002 · OMB 0584-0578.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0578 can be found here:

Documents and Forms

Document Name Document Type
CBO - Appendix F - Pre-Survey Notification Letter.docx Other-Pre-survey notification letter
updated CBO - Appendix C - Client Satisfaction Survey.docx Other-Phone Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Individuals and Households	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Pre-survey notification letter			CBO - Appendix F - Pre-Survey Notification Letter.docx		Yes	Yes	Fillable Fileable
Other-Phone Survey			updated CBO - Appendix C - Client Satisfaction Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-8 USDA/FNS Studies and Reports	FR Citation: 56 FR 19078

Number of Respondents: 2,724	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,724	4,724
Annual IC Time Burden (Hours)	556	556
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.