CLAIM FOR REIMBURSEMENT SUMMER FOOD SERVICE PROGRAM

ICR 198611-0584-005

OMB: 0584-0041

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
102915
Migrated
ICR Details
0584-0041 198611-0584-005
Historical Active 198405-0584-006
USDA/FNS
CLAIM FOR REIMBURSEMENT SUMMER FOOD SERVICE PROGRAM
Revision of a currently approved collection   No
Regular
Approved without change 01/13/1987
Retrieve Notice of Action (NOA) 11/13/1986
  Inventory as of this Action Requested Previously Approved
01/31/1990 01/31/1990 06/30/1987
2,250 0 1,950
1,688 0 1,462
0 0 0

TO FULFILL THE REIMBURSEMENT REQUIREMENTS SET FORTH IN THE SUMMER FOOD SERVICE PROGRAM REGULATION PARTS 225.8, 225.11 AND 225.12 ISSUED BY TH SECRETARY OF AGRICULTURE. THE MEAL COST DATA MUST BE COLLECTED ON THE FNS-143 TO DETERMINE THE REIMBURSEMENT ENTITLEMENT.

None
None


No

1
IC Title Form No. Form Name
CLAIM FOR REIMBURSEMENT SUMMER FOOD SERVICE PROGRAM

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,250 1,950 0 300 0 0
Annual Time Burden (Hours) 1,688 1,462 0 226 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/13/1986


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