Information Collection

State Agency - Financial Report

IC 184656 under ICR 201012-0584-004 · OMB 0584-0447.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0447 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 683 State Agency - Financial Report	Form and Instruction
FNS 683 Financial Report FNS-683 - Form.pdf https:\\www.fprs.fns.usda.gov	Form and Instruction

IC Title:

State Agency - Financial Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 3010 7 CFR 248.23

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 683	Financial Report	FNS-683 - Form.pdf	https:\\www.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: 45

Number of Respondents for Small Entity: 3

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	Previously Approved
Annual Number of Responses for this IC	10,803	2,153	8,650
Annual IC Time Burden (Hours)	15,970	2,428	13,542
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.