Information Collection

Dairy Donation Program

IC 247737 under ICR 202106-0581-001 · OMB 0581-0327.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0327 can be found here:

Documents and Forms

Document Name Document Type
DDP-P Dairy Donation and Distribution Plan Dairy Donation and Distribution Plan Form.xlsx Form and Instruction
DDP-C Eligible Distributor Certification Form Eligible Distributor Certification Form.xlsx Form and Instruction
DDP-RC Reimbursement Claim Form Reimbursement Claim Form.xlsx Form and Instruction
HR-EZ Reimbursement Claim Form Report of Receipts and Utilization.xls Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Dairy Donation Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DDP-P	Dairy Donation and Distribution Plan	Dairy Donation and Distribution Plan Form.xlsx	Yes	No	Fillable Printable
Form and Instruction	DDP-C	Eligible Distributor Certification Form	Eligible Distributor Certification Form.xlsx	Yes	No	Fillable Printable
Form and Instruction	DDP-RC	Reimbursement Claim Form	Reimbursement Claim Form.xlsx	Yes	No	Fillable Printable
Form and Instruction	HR-EZ	Reimbursement Claim Form	Report of Receipts and Utilization.xls	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 615	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	1,890	1,890
Annual IC Time Burden (Hours)	2,865	2,865
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.