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251.9(e) & 251.10(d)(1) - Report of State Administratvie Cost Matching Requirements
Food Distribution Forms
OMB: 0584-0293
IC ID: 44764
OMB.report
USDA/FNS
OMB 0584-0293
ICR 200608-0584-007
IC 44764
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0293 can be found here:
2023-07-21 - Revision of a currently approved collection
2019-11-26 - Revision of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
275
0
0
275
0
0
Annual IC Time Burden (Hours)
963
0
0
963
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.