Information Collection

Fns-742

IC 219418 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⚠️ Notice: This information collection may be referencing outdated material.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-742 FNS-742	Form
FNS-742.pdf fprs.fns.usda.gov	Instruction
FNS-742 FNS-742 School Food Authority (SFA) Verification Collect FNS-742 School Food Authority (SFA) Verification Collection Report Upload Template.xls fprs.fns.usda.gov	Form
FNS-742 (screensho School Food Authority (SFA) Verification Collection Repo FNS-742 Tab1.png fprs.fns.usda.gov	Form and Instruction
FNS-742 (screensho School Food Authority (SFA) Verification Collection Repo FNS-742 Tab2.png fprs.fns.usda.gov	Form and Instruction
FNS-742 (screensho School Food Authority (SFA) Verification Collection Repo FNS-742 Tab3.png fprs.fns.usda.gov	Form and Instruction
FNS-742 (screensho School Food Authority (SFA) Verification Collection Repo FNS-742 Tab4.png fprs.fns.usda.gov	Form and Instruction

IC Title:

FNS-742

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	FNS-742	FNS-742 School Food Authority (SFA) Verification Collection Report Upload Template	FNS-742 School Food Authority (SFA) Verification Collection Report Upload Template.xls	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable
Form and Instruction	FNS-742 (screenshot 1)	School Food Authority (SFA) Verification Collection Report	FNS-742 Tab1.png	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-742 (screenshot2)	School Food Authority (SFA) Verification Collection Report	FNS-742 Tab2.png	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-742 (screenshot3)	School Food Authority (SFA) Verification Collection Report	FNS-742 Tab3.png	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-742 (screenshot4)	School Food Authority (SFA) Verification Collection Report	FNS-742 Tab4.png	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS-742.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: 20,858

Number of Respondents for Small Entity: 635

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	20,858	-56	20,914
Annual IC Time Burden (Hours)	15,826	-42	15,868
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.