State & Local Agency's Requirements

Senior Farmers' Market Nutrition Program (SFMNP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0541 can be found here:

Documents and Forms

Document Name Document Type
Appendix 4 FNS-683a FPRS Screenshots and PBStatement.pdf Appendix 4 FNS-683a SFMNP Annual Financial and Program Data Report FPRS Screenshots IC Document

Information Collection (IC) Details

IC Title:	State & Local Agency's Requirements	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 249.3(d) 7 CFR 249.4 7 CFR 249.10 (b), (e), (f), and (h) 7 CFR 249.11 7 CFR 249.17(b)(2) 7 CFR 249.12 7 CFR 249.9 7 CFR 249.18(b) 7 CFR 249.23(a), (b) 7 CFR 249.16(a) 7 CFR 249.6(a)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,092	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 6 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,605,037	-201,121	1,806,158
Annual IC Time Burden (Hours)	413,630	-51,275	464,905
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix 4 FNS-683a SFMNP Annual Financial and Program Data Report FPRS Screenshots	Appendix 4 FNS-683a FPRS Screenshots and PBStatement.pdf	05/24/2016

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