Summer Food Service Program Claim for Reimbursement

ICR 200306-0584-001

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
2925 Migrated
ICR Details
0584-0041 200306-0584-001
Historical Active 200001-0584-003
USDA/FNS
Summer Food Service Program Claim for Reimbursement
Revision of a currently approved collection   No
Regular
Approved with change 10/09/2003
Retrieve Notice of Action (NOA) 06/26/2003
Approved consistent with changes made to the form and supporting statement in memo dated 10/8/03.
  Inventory as of this Action Requested Previously Approved
10/31/2006 10/31/2006 10/31/2003
1,060 0 1,590
610 0 1,193
0 0 0

This form is submitted to the Food and Nutrition Service's Child Nutrition Payment Center where it is entered into a computerized payment system. The system computes earnings to date and the number of meals served to date.

None
None


No

1
IC Title Form No. Form Name
Summer Food Service Program Claim for Reimbursement FNS-143

  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 1,060 1,590 0 -530 0 0
Annual Time Burden (Hours) 610 1,193 0 -583 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
06/26/2003


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