Information Collection

State and Local Burden

IC 2879 under ICR 201210-0584-004 · OMB 0584-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-640 State and Local Burden	Form and Instruction
LBNewApplication.mht WWW.LBNewApplication.mht	Other-DATABASE FOR FNS 66A
FNS-640 Coordinated Review Effort (CRE) Data Report FNS-640.pdf www.fprs.usda.gov	Form and Instruction
FNS 66 APPLICATION FOR PARTICIPATION IN THE NATIONAL SCHOOL LUN FNS-66.pdf www.fprs.fns.usda.gov	Form and Instruction
FNS 66A NATIONAL SCHOOL LUNCH, BREAKFAST, AND COMMODITY SCHOOL P FNS-66A.pdf www.fprs.fns.usda.gov	Form and Instruction
FNS-777.pdf FEDERAL FINANCIAL STATUS REPORT (FNS-777)	IC Document

IC Title:

State and Local Burden

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 210

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-640	Coordinated Review Effort (CRE) Data Report	FNS-640.pdf	https://www.fprs.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	FNS 66	APPLICATION FOR PARTICIPATION IN THE NATIONAL SCHOOL LUNCH, BREAKFAST, AND COMMODITY SCHOOL PROGRAM APPLICATION	FNS-66.pdf	www.fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS 66A	NATIONAL SCHOOL LUNCH, BREAKFAST, AND COMMODITY SCHOOL PROGRAM APPLICATION	FNS-66A.pdf	www.fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Other-DATABASE FOR FNS 66A			LBNewApplication.mht	WWW.LBNewApplication.mht	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: 122,661

Number of Respondents for Small Entity: 3,798

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	64,040,780	-1,146,512	65,187,292
Annual IC Time Burden (Hours)	9,747,797	-2,008,134	11,755,931
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FEDERAL FINANCIAL STATUS REPORT (FNS-777)	FNS-777.pdf	05/29/2012

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