State and Local Burden

7 CFR Part 210, National School Lunch Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0006 can be found here:

Documents and Forms

Document Name Document Type
Form FNS-640 State and Local Burden Form and Instruction
FNS-640 Coordinated Review Effort (CRE) Data Report Attachment G FNS-640.pdf Form and Instruction
Attachment A FNS-10 Screenshots V2.pdf Attachment A FNS-10 Report of School Program Operations IC Document
Attachment B FNS-13 Screenshots V2.pdf Attachment B FNS-13 Annual Report of State Revenue Matching IC Document
Attachment C FNS-777 Screenshots.pdf Attachment C FNS-777 Financial Status Report IC Document
Attachment D FNS-828_OMB_0584-0594.pdf Attachment D FNS-828 School Food Authority Paid Lunch Price Report IC Document
Attachment E 0584-0594 FPRS PBStatement _ExpDatDisplayed 7-16-14.pdf Attachment E OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Information and Public Burden Statement IC Document
Attachment F FNS-66A NSLP, Breakfast, and Commodity School Application.pdf Attachment F FNS-66A National School Lunch, Breakfast, and Commodity School Application IC Document

Information Collection (IC) Details

IC Title:	State and Local Burden	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 210

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FNS-640	Coordinated Review Effort (CRE) Data Report	Attachment G FNS-640.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 121,210	Number of Respondents for Small Entity: 120,758

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 2 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	49,749,500	-14,740,422	64,489,922
Annual IC Time Burden (Hours)	9,871,395	-1,466,392	11,337,787
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment A FNS-10 Report of School Program Operations	Attachment A FNS-10 Screenshots V2.pdf	02/23/2016
Attachment B FNS-13 Annual Report of State Revenue Matching	Attachment B FNS-13 Screenshots V2.pdf	02/23/2016
Attachment C FNS-777 Financial Status Report	Attachment C FNS-777 Screenshots.pdf	02/23/2016
Attachment D FNS-828 School Food Authority Paid Lunch Price Report	Attachment D FNS-828_OMB_0584-0594.pdf	02/23/2016
Attachment E OMB# 0584-0594 Food Programs Reporting System (FPRS) Home Screen with OMB Information and Public Burden Statement	Attachment E 0584-0594 FPRS PBStatement _ExpDatDisplayed 7-16-14.pdf	02/26/2016
Attachment F FNS-66A National School Lunch, Breakfast, and Commodity School Application	Attachment F FNS-66A NSLP, Breakfast, and Commodity School Application.pdf	02/23/2016

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