Information Collection

251.9(e) & 251.10(d)(1) - Report of State Administratvie Cost Matching Requirements

IC 44764 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⚠️ Notice: This information collection may be referencing outdated material.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-667 251.9(e) & 251.10(d)(1) - Report of State Administratvie Cost Matching Requirements	Form and Instruction
FNS-667 Report of the Emergency Food Assistance Program (TEFAP) FNS-667.pdf www.fns.usda.gov/fdd/forms/FNS-667.pdf	Form and Instruction

IC Title:

251.9(e) & 251.10(d)(1) - Report of State Administratvie Cost Matching Requirements

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 251.10(d)(1) 7 CFR 251.9(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-667	Report of the Emergency Food Assistance Program (TEFAP) Administrative Costs	FNS-667.pdf	http://www.fns.usda.gov/fdd/forms/FNS-667.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: 55

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	275	275
Annual IC Time Burden (Hours)	963	963
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.