Information Collection

250.17(e) - Other Reporting - Multi-Commodity Food Requisition

IC 44740 under ICR 200608-0584-007 · OMB 0584-0293.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0293 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-53 250.17(e) - Other Reporting - Multi-Commodity Food Requisition	Form and Instruction
FNS-53 Multi-Food Requisition FNS-53.pdf www.fns.usda.gov/fdd/forms/FNS-53.pdf	Form and Instruction

IC Title:

250.17(e) - Other Reporting - Multi-Commodity Food Requisition

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 250.17(e)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-53	Multi-Food Requisition	FNS-53.pdf	http://www.fns.usda.gov/fdd/forms/FNS-53.pdf	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 175

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	4,200	4,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.