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State/Local: J - Changes in Student Certification and Enrollment Form
Third Access, Participation, Eligibility and Certification Study Series (APEC III)
OMB: 0584-0530
IC ID: 203785
OMB.report
USDA/FNS
OMB 0584-0530
ICR 201705-0584-004
IC 203785
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0530 can be found here:
2022-08-23 - No material or nonsubstantive change to a currently approved collection
2022-03-03 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
rev062112 Attachment J - Changes in Student Certification and Enrollment Form - For All Schools.doc
Other-J - Changes in Student Certifi
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State/Local: J - Changes in Student Certification and Enrollment Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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-J - Changes in Student Certification and Enrollment Form - For All Schools
rev062112 Attachment J - Changes in Student Certification and Enrollment Form - For All Schools.doc
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:
FNS Studies and Reports
FR Citation:
56 FR 19078
Number of Respondents:
384
Number of Respondents for Small Entity:
38
Affected Public:
State, Local, and Tribal Governments
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
0
0
-384
0
0
384
Annual IC Time Burden (Hours)
0
0
-192
0
0
192
Annual IC Cost Burden (Dollars)
0
0
0
0
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.