Information Collection

Summer Feeding - National Hunger Clearinghouse Database Form FNS 543A State Agencies

IC 210060 under ICR 201501-0584-005 · OMB 0584-0474.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0474 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-543A Summer Feeding - National Hunger Clearinghouse Database Form FNS 543A State Agencies	Form
FNS-543A Summer Feeding - National Hunger Clearinghouse Database FNS-543A 8-12-15.pdf	Form
FNS-543A_USDA Summer Meal Site Entry Form for State Agencies.xlsx FNS-543A_USDA Summer Meal Site Entry Form for State Agencies	IC Document

IC Title:

Summer Feeding - National Hunger Clearinghouse Database Form FNS 543A State Agencies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-543A	Summer Feeding - National Hunger Clearinghouse Database Form	FNS-543A 8-12-15.pdf		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: 55

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	55	-39,945	40,000
Annual IC Time Burden (Hours)	60	-940	1,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FNS-543A_USDA Summer Meal Site Entry Form for State Agencies	FNS-543A_USDA Summer Meal Site Entry Form for State Agencies.xlsx	08/25/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.