Information Collection

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

IC 2909 under ICR 200812-0584-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2008 - version.pdf fprs.fns.usda.gov/	Form and Instruction
FNS-101 Participation in Food Programs - By Race FNS-101 SNAP-2008 version.pdf fprs.fns.usda.gov	Form and Instruction
Good Guidance 4-2007.pdf FNS Handbook 501	IC Document

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 247.37 7 CFR 272.6 28 CFR 42 Subpart C - Section 42.106 7 CFR 15.1-15.6 7 CFR 247.5 7 CFR 247.29 7 CFR 272.6

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 2008 - version.pdf	https://fprs.fns.usda.gov/	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-101	Participation in Food Programs - By Race	FNS-101 SNAP-2008 version.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,863

Number of Respondents for Small Entity: 286

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,863	-10	2,873
Annual IC Time Burden (Hours)	5,726	-20	5,746
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FNS Handbook 501	Good Guidance 4-2007.pdf	01/06/2009

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