Information Collection

Worksheet FNS 683 B OMB# 0594

IC 204618 under ICR 201609-0584-003 · OMB 0584-0594.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0594 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FNS 683 B Worksheet FNS 683 B OMB# 0594	Form and Instruction
FNS 683 B WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINA Request to Change Form Number from FNS 683 to FNS 683B.pdf fprs.fns.usda.gov/Home/Reminder.aspx	Form and Instruction
Currently approved combined FNS 683 203.pdf FNS 683 Current Instrument	IC Document

IC Title:

Worksheet FNS 683 B OMB# 0594

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 249.23 7 CFR 248.23

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 683 B	WIC FARMERS' MARKET NUTRITION PROGRAM (FMNP) ANNUAL FINANCIAL AND PROGRAM DATA REPORT	Request to Change Form Number from FNS 683 to FNS 683B.pdf	https://fprs.fns.usda.gov/Home/Reminder.aspx	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 46

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	92	92
Annual IC Time Burden (Hours)	184	184
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FNS 683 Current Instrument	Currently approved combined FNS 683 203.pdf	04/30/2015

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