Information Collection

Respondent - Business

IC 228208 under ICR 201708-0584-003 · OMB 0584-0637.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0637 can be found here:

Documents and Forms

Document Name Document Type
Attachment G.3_CBO Protocol_10-16-17.docx Other-Attachment G.3_CBO Protocol_10
Attch D.1.a_CBO Email Attch 1_ 9-13-17.docx Attachment D.1.a_CBO Email Attch 1_ 9-13-17.docx IC Document
Attch D.1.b_CBO Email Attch 2_ 9-13-17.docx Attachment D.1.b_CBO Email Attch 2_ 9-13-17.docx IC Document
Attch D.1_CBO Recruitment Email 9-13-17.docx Attachment D.1_CBO Recruitment Email 9-13-17.docx IC Document
Attachment I.9_CBO Recruitment Email 9-13-17.docx Attachment I.9_CBO Recruitment Email 9-13-17.docx IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Respondent - Business	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-Attachment G.3_CBO Protocol_10-16-17.docx			Attachment G.3_CBO Protocol_10-16-17.docx		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: FNS-10 USDA/FNS Persons Doing Business w/ FNS	FR Citation: 65 FR 17251

Number of Respondents: 70	Number of Respondents for Small Entity: 70

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	230	230
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment D.1.a_CBO Email Attch 1_ 9-13-17.docx	Attch D.1.a_CBO Email Attch 1_ 9-13-17.docx	09/28/2017
Attachment D.1.b_CBO Email Attch 2_ 9-13-17.docx	Attch D.1.b_CBO Email Attch 2_ 9-13-17.docx	09/28/2017
Attachment D.1_CBO Recruitment Email 9-13-17.docx	Attch D.1_CBO Recruitment Email 9-13-17.docx	09/28/2017
Attachment I.9_CBO Recruitment Email 9-13-17.docx	Attachment I.9_CBO Recruitment Email 9-13-17.docx	09/28/2017

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