Information Collection

Program & Budget Summary Statement FNS 366A; FNS 366B

IC 2990 under ICR 201312-0584-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Program & Budget Summary Statement FNS 366A; FNS 366B	Form and Instruction
SF 425 Instruction.pdf fprs.fns.usda.gov	Instruction
SWIM - Waiver Form w PaperWorkLang - 9-26-13.png www.notyetcreated.com	Other-SWIM Database
FNS-366A Part A - Program and Budget Summary Statement 366A Screenshots Consolidated 9-16-13.docx https:/fprs/fns.usda.gov	Form and Instruction
FNS-366B Part B - Program and Budget Summary Statement 366B Screenshot 9-16-13.docx fprs.fns.usda.gov	Form and Instruction
SF 425 Federal Financial Report SF-425 expires 2015.pdf fprs.fns.usda.gov	Form
SF 425 Federal Finanacial Report Remarks screen SF 425 Remarks.docx fprs.fns.usda.gov	Form

IC Title:

Program & Budget Summary Statement FNS 366A; FNS 366B

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 274.12 7 CFR 274.2 7 CFR 272.2

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	366A Screenshots Consolidated 9-16-13.docx	https:/fprs/fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-366B	Part B - Program and Budget Summary Statement	366B Screenshot 9-16-13.docx	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form	SF 425	Federal Financial Report	SF-425 expires 2015.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form	SF 425	Federal Finanacial Report Remarks screen	SF 425 Remarks.docx	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			SF 425 Instruction.pdf	https://fprs.fns.usda.gov	Yes	No	Printable Only
Other-SWIM Database			SWIM - Waiver Form w PaperWorkLang - 9-26-13.png	www.notyetcreated.com	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: 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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	919	-106	1,025
Annual IC Time Burden (Hours)	2,728	-138	2,866
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.