Information Collection

Individuals/Households

IC 191243 under ICR 201409-0584-002 · OMB 0584-0293.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0293 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Individuals/Households	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 247.8 7 CFR 247.16(a) 7 CFR 250.69(d) & 250.70(f) 7 CFR 253.7 & 254.3(a_

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: Persons Doing Business withUSAD/ FNS-10	FR Citation: 65 FR 17257

Number of Respondents: 611,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,199,200	2,500	180,443	1,016,257
Annual IC Time Burden (Hours)	304,400	50	24,013	280,337
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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