Information Collection

Households - SNAP Program Repayment Demand and Program Disqualification

IC 184679 under ICR 202102-0584-004 · OMB 0584-0492.

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Information Collection (IC) Details

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IC Title:	Households - SNAP Program Repayment Demand and Program Disqualification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 273.18 (e)(3)(iv) 7 CFR 273.16 7 CFR 273.16(e)(3) (h)

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: Claim Against Food Stamp Recipients	FR Citation: 63 FR 14894

Number of Respondents: 559,785	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	663,925	-333,038	996,963
Annual IC Time Burden (Hours)	20,746	-11,089	31,835
Annual IC Cost Burden (Dollars)	0	0	0

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