Information Collection

National Hunger Clearinghouse Database Form FNS 543 (BUS)

IC 3074 under ICR 201804-0584-001 · OMB 0584-0474.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0474 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-543 National Hunger Clearinghouse Database Form FNS 543 (BUS) Form
Appendix A-3 Screenshot of FNS 543 Form 9-13-18.docx www.hungerfreeamerica.org/about/our-work/usda-national-hunger-hotlineor nhc.fns.usda.gov/nhc/submit Other-Appendix A-3 Screenshot for FN
FNS-543 NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM FNS-543_0584-0474 (Final 4-2-2015).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Hunger Clearinghouse Database Form FNS 543 (BUS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	FNS-543	NATIONAL HUNGER CLEARINGHOUSE DATABASE FORM	FNS-543_0584-0474 (Final 4-2-2015).pdf		Yes	Yes	Paper Only
Other-Appendix A-3 Screenshot for FNS 543			Appendix A-3 Screenshot of FNS 543 Form 9-13-18.docx	https://www.hungerfreeamerica.org/about/our-work/usda-national-hunger-hotlineor https://nhc.fns.usda.gov/nhc/submit	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 300

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	600	0	600
Annual IC Time Burden (Hours)	50	-50	100
Annual IC Cost Burden (Dollars)	0	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.