Information Collection

FNS-874 (formerly FNS-742a)

IC 219419 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⚠️ Notice: This information collection may be referencing outdated material.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-874 (formerly FNS-874 (formerly FNS-742a)	Form and Instruction
FNS-874 (formerly Local Educational Agency Second Review of Applications R 874 Aggregation Form & Instructions_OMB#0584-0594.xlsx	Form and Instruction
FNS-874 (formerly Local Educational Agency Second Review of Applications R FNS-874 New Submission Screenshot.pdf www.fprs.gov	Form

IC Title:

FNS-874 (formerly FNS-742a)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-874 (formerly FNS-742a)	Local Educational Agency Second Review of Applications Report	874 Aggregation Form & Instructions_OMB#0584-0594.xlsx		Yes	No	Fillable Printable
Form	FNS-874 (formerly FNS-742a)	Local Educational Agency Second Review of Applications Report	FNS-874 New Submission Screenshot.pdf	www.fprs.gov	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: 1,456

Number of Respondents for Small Entity: 44

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	1,456	1,456
Annual IC Time Burden (Hours)	378	378
Annual IC Cost Burden (Dollars)	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.