Information Collection

7 CFR Part 215, Special Milk Program for Children

IC 204551 under ICR 201510-0584-006 · OMB 0584-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

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-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

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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	99,051	99,041	10
Annual IC Time Burden (Hours)	14,914	14,899	15
Annual IC Cost Burden (Dollars)	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.