Information Collection

7 CFR Part 235 State Administrative Expense Funds (State Agencies)

IC 2963 under ICR 201605-0584-002 · OMB 0584-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0067 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS-525 7 CFR Part 235 State Administrative Expense Funds (State Agencies)	Form and Instruction
FNS-525 State Administrative Expense Funds Reallocation Report Attachment C FNS-525 SAE Funds Reallocation Report.pdf	Form and Instruction
FNS-74 Federal-State Agreement Attachment A FNS-74.pdf	Form and Instruction
Attachment B FNS-777 Financial Status Report FPRS and PBStatement Screenshots.pdf Attachment B FNS-777 Financial Status Report	IC Document

IC Title:

7 CFR Part 235 State Administrative Expense Funds (State Agencies)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 235 7 CFR 250.12

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 and Instruction	FNS-525	State Administrative Expense Funds Reallocation Report	Attachment C FNS-525 SAE Funds Reallocation Report.pdf		No		Fillable Printable
Form and Instruction	FNS-74	Federal-State Agreement	Attachment A FNS-74.pdf		Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 84

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,469	-9,421	12,890
Annual IC Time Burden (Hours)	6,631	-6,917	13,548
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B FNS-777 Financial Status Report	Attachment B FNS-777 Financial Status Report FPRS and PBStatement Screenshots.pdf	05/23/2016

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