View Information Collection (IC)

View Information Collection (IC)

IC Title:	Non Responding Households	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-Non Responders			Non Response.docx		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,566	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	9,132	0	9,132	0	0	0
Annual IC Time Burden (Hours)	457	0	457	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Advance Letter_FollowUp_Nonresponding_Households	Advance_Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Eng_v1_Final.docx	03/18/2011
Advance Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Spanish	Advance_Letter_FollowUp_NonrespondingHouseholds_AtBaseline_Spanish_v3_Final.docx	03/18/2011

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