Information Collection

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

IC 2909 under ICR 200804-0584-006 · OMB 0584-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-191 Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101	Form and Instruction
FNS-191 Racial/Ethic Group Participation Commodity Supplemental FNS-191[2].pdf	Form and Instruction
FNS-101 Participation in Food Programs - By Race FNS-101[1].pdf	Form

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 272.6 28 CFR 42 Subpart C - Section 42.106 7 CFR 247.37

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-191	Racial/Ethic Group Participation Commodity Supplemental Food Program	FNS-191[2].pdf		Yes	Yes	Fillable Printable
Form	FNS-101	Participation in Food Programs - By Race	FNS-101[1].pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,873

Number of Respondents for Small Entity: 287

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 32 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,873	3	2,870
Annual IC Time Burden (Hours)	5,746	-676	6,422
Annual IC Cost Burden (Dollars)	0	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.