OMB
.report
Search
7 CFR Part 215, Special Milk Program for Children
7 CFR Part 215 - Special Milk Program for Children
OMB: 0584-0005
IC ID: 204551
OMB.report
USDA/FNS
OMB 0584-0005
ICR 201510-0584-006
IC 204551
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0005 can be found here:
2022-07-25 - Revision of a currently approved collection
2019-04-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FNS-66B
7 CFR Part 215, Special Milk Program for Children
Form
FNS-66B Special Milk Program Application, Agreement Policy State
Attachment A - Special Milk Program Application.pdf
Form
FNS-66B Special Milk Program Site Data
Attachment A - Special Milk Program Site Data.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
7 CFR Part 215, Special Milk Program for Children
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 215.7
7 CFR 215.14(a)
7 CFR 215.13(a)
7 CFR 215.5(a)
7 CFR 215.7(d)
7 CFR 215.11(b) & (c)
7 CFR 215.12
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FNS-66B
Special Milk Program Application, Agreement Policy Statement
Attachment A - Special Milk Program Application.pdf
Yes
Yes
Fillable Fileable
Form
FNS-66B
Special Milk Program Site Data
Attachment A - Special Milk Program Site Data.pdf
Yes
Yes
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:
3,933
Number of Respondents for Small Entity:
3,854
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
99,051
0
0
99,041
0
10
Annual IC Time Burden (Hours)
14,914
0
0
14,899
0
15
Annual IC Cost Burden (Dollars)
0
0
0
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.