Information Collection

Operating Guidelines, Forms, and Waivers

IC 2990 under ICR 201302-0584-009 · OMB 0584-0083.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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-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 %

table that charts list of burden
	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

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.