Information Collection

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

IC 2990 under ICR 201402-0584-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-SWIM Database			SWIM - Waiver Form w PaperWorkLang - 9-26-13.png	www.notyetcreated.com	Yes	Yes	Fillable Fileable Signable
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

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	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

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.