Information Collection

FNS User Access Request Form (State)

IC 184860 under ICR 200804-0584-008 · OMB 0584-0532.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0532 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-674 FNS User Access Request Form (State)	Form and Instruction
FNS-674 FNS User Access Request Form 2008-0584-0532-REVISED FNS-674.pdf	Form and Instruction
2008-0584-0532-FNCS 702 Handbook_v1.pdf Information System Security Guidelines & Procedures 702 Handbook	IC Document
5cfr732.102.pdf 5 CFR 732	IC Document
Cost to Respondent table ICR 5-5-08.xls Cost to Public	IC Document

IC Title:

FNS User Access Request Form (State)

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 732.101-103

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-674	FNS User Access Request Form	2008-0584-0532-REVISED FNS-674.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title: Persons Doing Business with the Food and Nutrition Service

FR Citation: 65 FR 17251

Number of Respondents: 210

Number of Respondents for Small Entity: 21

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	420	420
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Information System Security Guidelines & Procedures 702 Handbook	2008-0584-0532-FNCS 702 Handbook_v1.pdf	05/12/2008
5 CFR 732	5cfr732.102.pdf	05/12/2008
Cost to Public	Cost to Respondent table ICR 5-5-08.xls	05/13/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.