Information Collection

Fns-828

IC 219236 under ICR 201904-0584-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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-828 (screensho FNS-828	Form and Instruction
FNS-828.pdf fprs.fns.usda.gov	Instruction
FNS-828 (screensho School Food Authority Paid Lunch Price Report 828_Report.jpg fprs.fns.usda.gov	Form and Instruction
FNS-828 (screensho School Food Authority Paid Lunch Price Report 828_Remarks.jpg fprs.fns.usda.gov	Form and Instruction

IC Title:

FNS-828

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-828 (screenshot 1)	School Food Authority Paid Lunch Price Report	828_Report.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-828 (screenshot 2)	School Food Authority Paid Lunch Price Report	828_Remarks.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS-828.pdf	https://fprs.fns.usda.gov	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: 56

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	56	-1	57
Annual IC Time Burden (Hours)	280	-290	570
Annual IC Cost Burden (Dollars)	0	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.