Information Collection

State Agency (49); Local Agency (980)

IC 184656 under ICR 201709-0584-002 · OMB 0584-0447.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0447 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FNS-683 Screenshots.pdf FNS 683	IC Document

IC Title:

State Agency (49); Local Agency (980)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 3010 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

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,029

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,309,190	3,298,608	10,582
Annual IC Time Burden (Hours)	845,833	830,024	15,809
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FNS 683	FNS-683 Screenshots.pdf	10/26/2017

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