Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101

ICR 200601-0584-003

OMB: 0584-0025

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0584-0025 200601-0584-003
Historical Active 200405-0584-004
USDA/FNS
Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101
Revision of a currently approved collection   No
Regular
Approved without change 03/28/2006
Retrieve Notice of Action (NOA) 01/26/2006
  Inventory as of this Action Requested Previously Approved
03/31/2009 03/31/2009 03/31/2006
2,870 0 2,973
6,422 0 6,664
0 0 0

The FNS-191 is used by CSFP local agencies to report racial/ ethnic data on participants. The FNS-101 is used by FDPIR and FSP agencies to report racial data. The data is used to monitor compliance with Civil Rights Act.

None
None


No

1
IC Title Form No. Form Name
Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101 FNS-191, FNS-101

  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 2,870 2,973 0 0 -103 0
Annual Time Burden (Hours) 6,422 6,664 0 0 -242 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
01/26/2006


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