Information Collection

Business

IC 191242 under ICR 201409-0584-002 · OMB 0584-0293.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0293 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-57 Business	Form and Instruction
FNS-57 REPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED FNS-57.pdf	Form and Instruction
FNS-667 REPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) FNS-667.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Business

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 247.28 & 247.30 7 CFR 250.4 7 CFR 250.10 - 250.15 7 CFR 240.4 7 CFR 250.19 7 CFR 250.30 7 CFR 250.58 7 CFR 250.69 & 250.70 7 CFR 251.2, 251.4, 251.10

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-57	REPORT OF SHIPMENT RECEIVED OVER, SHORT AND/OR DAMAGED	FNS-57.pdf	webscm	Yes	Yes	Fillable Fileable
Form and Instruction	FNS-667	REPORT OF THE EMERGENCY FOOD ASSISTANCE PROGRAM (TEFAP) ADMINISTRATIVE COSTS	FNS-667.pdf		No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,412

Number of Respondents for Small Entity: 44

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,942,672	1,258,962	228,997	454,713
Annual IC Time Burden (Hours)	762,330	35,147	-42,699	769,882
Annual IC Cost Burden (Dollars)	0	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.