Information Collection

Fns-874

IC 219419 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⚠️ Notice: This information collection may be referencing outdated material.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-874 (screensho FNS-874	Form and Instruction
FNS-874.pdf fprs.fns.usda.gov	Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_1.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_2.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_3.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_4.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_5.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_6.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_7.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_8.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_9.jpg fprs.fns.usda.gov	Form and Instruction
FNS-874 (screensho Local Educational Agency Second Review of Applications R 874_Report_10.jpg fprs.fns.usda.gov	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

FNS-874

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 and Instruction	FNS-874 (screenshot1)	Local Educational Agency Second Review of Applications Report	874_Report_1.jpg	https://fprs.fns.usda.gov	Yes	No	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot2)	Local Educational Agency Second Review of Applications Report	874_Report_2.jpg	https://fprs.fns.usda.gov	Yes	No	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot3)	Local Educational Agency Second Review of Applications Report	874_Report_3.jpg	https://fprs.fns.usda.gov	Yes	No	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot4)	Local Educational Agency Second Review of Applications Report	874_Report_4.jpg	https://fprs.fns.usda.gov	Yes	No	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot5)	Local Educational Agency Second Review of Applications Report	874_Report_5.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot 6)	Local Educational Agency Second Review of Applications Report	874_Report_6.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot7)	Local Educational Agency Second Review of Applications Report	874_Report_7.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot8)	Local Educational Agency Second Review of Applications Report	874_Report_8.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot9)	Local Educational Agency Second Review of Applications Report	874_Report_9.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FNS-874 (screenshot10)	Local Educational Agency Second Review of Applications Report	874_Report_10.jpg	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable
Instruction			FNS-874.pdf	https://fprs.fns.usda.gov	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

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.