Operating Guidelines, Forms, and Waivers

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0083 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-366A Operating Guidelines, Forms, and Waivers Form and Instruction
SF 425 Instruction.pdf Instruction
FNS-366A Part A - Program and Budget Summary Statement FNS-366A 7-2003.pdf fns.usda.gov Form and Instruction
FNS-366B Part B - Program and Budget Summary Statement FNS-366B.pdf fprs.fns.gov Form and Instruction
SF 425 Federal Financial Report SF425.jpg fprs.fns.gov Form
SF 425 Federal Finanacial Report Remarks screen Sf-425_remarks.jpg fprs.fns.gov Form
SF 425 Federal Financial Report SF-425.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Operating Guidelines, Forms, and Waivers	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 272.2 7 CFR 274.12 7 CFR 274.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-366A	Part A - Program and Budget Summary Statement	FNS-366A 7-2003.pdf	https://fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-366B	Part B - Program and Budget Summary Statement	FNS-366B.pdf	https://fprs.fns.gov	Yes	Yes	Fillable Printable
Form	SF 425	Federal Financial Report	SF425.jpg	https://fprs.fns.gov	Yes	Yes	Fillable Fileable Signable
Form	SF 425	Federal Finanacial Report Remarks screen	Sf-425_remarks.jpg	https://fprs.fns.gov	Yes	Yes	Fillable Fileable Signable
Form	SF 425	Federal Financial Report	SF-425.pdf		No		Printable Only
Instruction			SF 425 Instruction.pdf		No		Printable Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,193	159	1,034
Annual IC Time Burden (Hours)	7,577	40	7,537
Annual IC Cost Burden (Dollars)	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.