Information Collection

Individuals/Households

IC 259304 under ICR 202303-0584-002 · OMB 0584-0686.

Documents and Forms

Document Name Document Type
Form FNS 775 Individuals/Households Form
Appendix E EmpowHr Screenshots.docx www.currently-under-development.gov Other-EmpowHR Person Model - 775 Scr
Appendix E EmpowHr Screenshots.docx www.currently-under-development.gov Other-EmpowHR Person Model - 775 Scr
FNS 775 EmpowHR Person Model Appendix B FNS 775 EmpowHR Person Model.pdf Form
FNS 775 EmpowHR Person Model Appendix B FNS 775 EmpowHR Person Model.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Individuals/Households	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FNS 775	EmpowHR Person Model	Appendix B FNS 775 EmpowHR Person Model.pdf		No		Paper Only
Other-EmpowHR Person Model - 775 Screenshots			Appendix E EmpowHr Screenshots.docx	www.currently-under-development.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: USDA/OP-1 Personnel and Payroll System	FR Citation: 63 FR 4213

Number of Respondents: 62	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	31	31
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.