Information Collection

SA Second Review of Applications

IC 204317 under ICR 201401-0584-002 · OMB 0584-0573.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-742A SA Second Review of Applications	Form
FNS-742A FNS Independent Review Reporting Form 011414 FNS-742A.pdf fprs.fns.usda.gov/	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 245.11(b)(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	FNS-742A	FNS Independent Review Reporting Form	011414 FNS-742A.pdf	https://fprs.fns.usda.gov/	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 1

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	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.