Model Food Stamp Forms (disqualification Penalties For Fraud)

MODEL FOOD STAMP FORMS (DISQUALIFICATION PENALTIES FOR FRAUD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0064 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	MODEL FOOD STAMP FORMS (DISQUALIFICATION PENALTIES FOR FRAUD)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	437, 442,	No	No
Form	386, 394,	No	No
Form	387, 395,	No	No
Form	439 & 441	No	No
Form	FNS-385,	No	No
Form	393, 396,	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 105,877,760	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	105,586,918	-5,925,529	111,512,447
Annual IC Time Burden (Hours)	29,300,447	-245,706	29,546,153
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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