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SA Financial Status Report
Fresh Fruit and Vegetable Program
OMB: 0584-0569
IC ID: 204312
OMB.report
USDA/FNS
OMB 0584-0569
ICR 201204-0584-010
IC 204312
( )
Documents and Forms
Document Name
Document Type
Form SF-425
SA Financial Status Report
Form
SF-425 Federal Financial Report
SF425 OMB 0348-0061 - Exp 2-28-15.pdf
fprs.fns.usda.gov
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SA Financial Status Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
7 CFR 211.11(a)(2) and (a)(3)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SF-425
Federal Financial Report
SF425 OMB 0348-0061 - Exp 2-28-15.pdf
https://fprs.fns.usda.gov
Yes
Yes
Fillable Fileable
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:
54
Number of Respondents for Small Entity:
2
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
270
0
270
0
0
0
Annual IC Time Burden (Hours)
405
0
405
0
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.
